Healthcare Provider Details

I. General information

NPI: 1366244782
Provider Name (Legal Business Name): MD'S HOMECARE PROFESSIONALS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 COYOTE CREEK PL
SAN JOSE CA
95116-1083
US

IV. Provider business mailing address

1280 COYOTE CREEK PL
SAN JOSE CA
95116-1083
US

V. Phone/Fax

Practice location:
  • Phone: 408-621-3128
  • Fax:
Mailing address:
  • Phone: 408-621-3128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARISSA P DAYRIT
Title or Position: SECRETARY
Credential: N/A
Phone: 408-621-3128