Organization Active NPI

Mazal Nursing Services Inc

  • Attendant Care Provider
  • Hollywood, FL
National Provider Identifier
1477108546
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
107976600MedicaidFL
018518500MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Mazal Nursing Services Inc2 organizations share this tax ID, including this one
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.

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.

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.

Verify at the official NPI Registry.