=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871407098
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MAEO HEALTHCARE SERVICES INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/02/2026
-----------------------------------------------------
Last Update Date | 10/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7481 W OAKLAND PARK BLVD STE 302E
-----------------------------------------------------
City | TAMARAC
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33319-4961
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-496-3225
-----------------------------------------------------
Fax | 954-572-3689
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7481 W OAKLAND PARK BLVD STE 302E
-----------------------------------------------------
City | TAMARAC
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33319-4961
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-496-3225
-----------------------------------------------------
Fax | 954-572-3689
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MARCIA GORDON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 954-496-3225
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------