Mutual Health Maintenance, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MUTUAL HEALTH MAINTENANCE, LLC

Doing business as

Homewatch Caregivers

Practice address

23811 Chagrin Blvd
114
Beachwood, OH 44122-5525

Phone

(216) 593-0120

NPI assigned

Sep 20, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Eric Malkin

Title

President

Phone

(216) 593-0120

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Homewatch Caregivers Doing business as

Electronic endpoints 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1386926095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23811 CHAGRIN BLVD STE 114",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225525",
            "telephone_number": "216-593-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23811 CHAGRIN BLVD",
            "address_2": "114",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225525",
            "telephone_number": "216-593-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUTUAL HEALTH MAINTENANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2021-01-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "MALKIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-593-0120",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058204",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "homewatchcaregivers.com",
            "affiliation": "N",
            "endpointDescription": "23811 Chagrin Blvd Ste 114, Beachwood Oh 44122-5555",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "23811 Chagrin Blvd Ste 114",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441225531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "homewatchcaregivers.com",
            "affiliation": "Y",
            "endpointDescription": "23811 Chagrin Blvd Unit 114 Beachwood Ohio 44122",
            "affiliationName": "Community Employment For All",
            "address_1": "23811 Chagrin Blvd Ste 110",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441225555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Homewatch Caregivers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Homewatch Caregivers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Beachwood, OH
• Providers in Beachwood, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.