Mazeno Health Care Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MAZENO HEALTH CARE SERVICES, LLC

Practice address

15378 Bald Eagle LN
Woodbridge, VA 22191-3739

Phone

(470) 861-3166

NPI assigned

Dec 22, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Marther Azangue Eno, BSC

Title

Program Administrator

Phone

(470) 861-3166

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1841069481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15378 BALD EAGLE LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913739",
            "telephone_number": "470-861-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15378 BALD EAGLE LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913739",
            "telephone_number": "470-861-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZENO HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "ENO",
        "authorized_official_first_name": "MARTHER",
        "authorized_official_middle_name": "AZANGUE",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "470-861-3166",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSC"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexxandra Mauro
• Maxbel Home Health Inc
• Maxim Healthcare Services, Inc.
• Elizabeth Alice May
• Lorrie A Mayberry, LPC
• Mazeno Home Care LLC
• Alaina Mazer, MED, LPC, NCC
• Delphine Fien Mbeng, LCSW-S
• Mary Frances Elizabeth McAndrews, M.A.,M.ED, CVRT
• MCB Labs LLC

• In Home Supportive Care Agency in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.