Healthcare Provider Details

I. General information

NPI: 1881445179
Provider Name (Legal Business Name): MOPS AND MAIDS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2024
Last Update Date: 03/27/2024
Certification Date: 03/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 LAFAYETTE RD STE 1
MEDINA OH
44256-2378
US

IV. Provider business mailing address

124 LAFAYETTE RD STE 1
MEDINA OH
44256-2378
US

V. Phone/Fax

Practice location:
  • Phone: 216-217-1560
  • Fax:
Mailing address:
  • Phone: 216-217-1560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NICOLE C HOUSTON
Title or Position: DOO
Credential:
Phone: 330-396-0544