Healthcare Provider Details

I. General information

NPI: 1215682083
Provider Name (Legal Business Name): MVE HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2022
Last Update Date: 02/19/2022
Certification Date: 02/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 E LAMBERT RD STE 202
LA HABRA CA
90631-5757
US

IV. Provider business mailing address

1901 E LAMBERT RD STE 202
LA HABRA CA
90631-5757
US

V. Phone/Fax

Practice location:
  • Phone: 562-316-5311
  • Fax: 562-316-5123
Mailing address:
  • Phone: 562-316-5311
  • Fax: 562-316-5123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARK SY
Title or Position: ADMINISTRATOR
Credential: PT, DPT
Phone: 714-721-7995