MEDICARE: MBH HOME CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1073446779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MBH HOME CARE, LLC

Provider Business Mailing Address
First Line	:	600 E CRESCENT AVE STE 208-G
Second Line	:
City	:	UPPER SADDLE RIVER
State	:	NJ
Zip	:	07458-1846
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 E CRESCENT AVE STE 208-G
Second Line	:
City	:	UPPER SADDLE RIVER
State	:	NJ
Zip	:	07458-1846
Country	:	US
Telephone Number	:	201-324-4594
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ISRAEL TAUBENFELD
Credential	:
Telephone Number	:	201-324-4594

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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