Healthcare Provider Details

I. General information

NPI: 1144699240
Provider Name (Legal Business Name): MAGYAR HC HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2015
Last Update Date: 08/18/2022
Certification Date: 09/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 W COLONIAL DR
ORLANDO FL
32804-7309
US

IV. Provider business mailing address

711 W COLONIAL DR
ORLANDO FL
32804-7309
US

V. Phone/Fax

Practice location:
  • Phone: 407-757-0981
  • Fax: 888-820-6101
Mailing address:
  • Phone: 407-757-0981
  • Fax: 888-820-6101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299994450
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number234015
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NICHOLA MICHELLE MAGYAR
Title or Position: OWNER
Credential:
Phone: 407-757-0981