Healthcare Provider Details

I. General information

NPI: 1851158836
Provider Name (Legal Business Name): MOKA HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2024
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9431 E MEXICO AVE
DENVER CO
80247-3040
US

IV. Provider business mailing address

9431 E MEXICO AVE
DENVER CO
80247-3040
US

V. Phone/Fax

Practice location:
  • Phone: 720-933-9984
  • Fax:
Mailing address:
  • Phone: 720-933-9984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MALAK ELDIE
Title or Position: OWNER
Credential:
Phone: 720-933-9984