Mda Home Healthcare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MDA HOME HEALTHCARE, LLC

Practice address

5026 Sabreline Ter
Greenacres, FL 33463-5956

Phone

(772) 888-6969

NPI assigned

Oct 23, 2017

Organization subpart

No

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

Authorized official

Name

Mahalath Augustin

Title

Owner

Phone

(561) 777-3333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1851802482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 SABRELINE TER",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334635956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5026 SABRELINE TER",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334635956",
            "telephone_number": "772-888-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDA HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "AUGUSTIN",
        "authorized_official_first_name": "MAHALATH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-777-3333"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.