Healthcare Provider Details

I. General information

NPI: 1841368784
Provider Name (Legal Business Name): MVH HOME CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2640 HOLLYWOOD BLVD STE 119
HOLLYWOOD FL
33020-4830
US

IV. Provider business mailing address

2640 HOLLYWOOD BLVD STE 119
HOLLYWOOD FL
33020-4830
US

V. Phone/Fax

Practice location:
  • Phone: 954-367-0775
  • Fax: 954-367-0776
Mailing address:
  • Phone: 954-367-0775
  • Fax: 954-367-0776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANNYA CANINO
Title or Position: PRESIDENT
Credential: RMA
Phone: 305-924-1871