MEDICARE: MVH HOME CARE SERVICES INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		FL

General Provider Information

NPI Number	:	1841368784
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MVH HOME CARE SERVICES INC

Provider Business Mailing Address
First Line	:	2640 HOLLYWOOD BLVD STE 119
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-4830
Country	:	US
Telephone Number	:	954-367-0775
Fax Number	:	954-367-0776

Provider Business Practice Location Address
First Line	:	2640 HOLLYWOOD BLVD STE 119
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-4830
Country	:	US
Telephone Number	:	954-367-0775
Fax Number	:	954-367-0776

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANNYA CANINO
Credential	:	RMA
Telephone Number	:	305-924-1871

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	08/22/2020

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