Healthcare Provider Details

I. General information

NPI: 1659925568
Provider Name (Legal Business Name): MAZALTOV, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2019
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 PALM BEACH LAKES BLVD STE 300M
WEST PALM BEACH FL
33409-6515
US

IV. Provider business mailing address

2001 PALM BEACH LAKES BLVD STE 300M
WEST PALM BEACH FL
33409-6515
US

V. Phone/Fax

Practice location:
  • Phone: 561-430-2091
  • Fax: 561-898-1021
Mailing address:
  • Phone: 561-430-2091
  • Fax: 561-898-1021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ELIDA SINAKOLI
Title or Position: OWNER/ADMINISTRATOR
Credential: BSC,MSC
Phone: 561-479-9350