MEDICARE: MALAIKA HOMECARE AND TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	253Z00000X	In Home Supportive Care Agency
3	343900000X	Non-emergency Medical Transport (VAN)
4	344600000X	Taxi
5	347E00000X	Transportation Broker
6	385H00000X	Respite Care
7	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1164250270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MALAIKA HOMECARE AND TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	5537 N STATE ROAD 7
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33319-2923
Country	:	US
Telephone Number	:	561-613-3562
Fax Number	:

Provider Business Practice Location Address
First Line	:	5537 N STATE ROAD 7
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33319-2923
Country	:	US
Telephone Number	:	561-613-3562
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MARIO VICTOR
Credential	:
Telephone Number	:	561-613-3562

Provider Enumeration Date	:	07/22/2024
Last Update Date	:	07/22/2024

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