Active NPI
Mazal Nursing Services Inc
- Attendant Care Provider
- Hollywood, FL
National Provider Identifier
1477108546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Legal business name
- MAZAL NURSING SERVICES INC
- Practice address
- 1930 Harrison Street
Suite 205
Hollywood, FL 33020-7828 - Phone
- (954) 456-1199
- Fax
- (954) 458-6633
- NPI assigned
- Aug 6, 2019
- Organization subpart
- Yes
- Parent organization
- MAZAL NURSING SERVICES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sandra Rub
- Title
- Ceo/Administrator
- Phone
- (786) 554-7010
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Attendant Care Provider | 3747A0650X | Primary |
Addresses
Primary practice location
1930 Harrison Street
Suite 205
Hollywood, FL 33020-7828
Mailing address
1930 Harrison Street
Suite 205
Hollywood, FL 33020-7828
Phone (954) 456-1199
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107976600 | Medicaid | FL | |
| 018518500 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Mazal Nursing Services Inc
- Part of
- Mazal Nursing Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Attendant Care Provider
- Miami, FL
- NPI 1043551252
Locations
1930 Harrison St
Ste 205
Hollywood, FL 33020
Phone (954) 456-1199
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Attendant Care Provider
- Miami, FL
- NPI 1043551252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645574400000",
"number": "1477108546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 HARRISON STREET",
"address_2": "SUITE 205",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330207828",
"telephone_number": "954-456-1199",
"fax_number": "954-458-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 HARRISON STREET",
"address_2": "SUITE 205",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330207828",
"telephone_number": "954-456-1199",
"fax_number": "954-458-6633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAZAL NURSING SERVICES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MAZAL NURSING SERVICES INC",
"enumeration_date": "2019-08-06",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A",
"authorized_official_last_name": "RUB",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "CEO/ADMINISTRATOR",
"authorized_official_telephone_number": "786-554-7010",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107976600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018518500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.