NPI Code Details Logo

NPI 1063228096

NPI 1063228096 : MOKA HOMECARE LLC : DENVER, CO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1063228096
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MOKA HOMECARE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/04/2024
-----------------------------------------------------
    Last Update Date     |    05/22/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    9431 E MEXICO AVE 
-----------------------------------------------------
    City                 |    DENVER
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    80247-3040
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    720-933-9984
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    9431 E MEXICO AVE 
-----------------------------------------------------
    City                 |    DENVER
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    80247-3040
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    720-933-9984
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     MALAK  ELDIE 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    720-933-9984
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    376J00000X
-----------------------------------------------------
    Taxonomy Name        |    Homemaker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.