MEDICARE: MB 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	251E00000X	Home Health Agency
2	251E00000X	Home Health Agency	009463	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477595940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MB CARE LLC

Provider Business Mailing Address
First Line	:	1401 E YANDELL DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-5627
Country	:	US
Telephone Number	:	915-351-1851
Fax Number	:	915-581-2485

Provider Business Practice Location Address
First Line	:	1401 E YANDELL DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-5627
Country	:	US
Telephone Number	:	915-351-1851
Fax Number	:	915-581-2485

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JUAN MIMBELA
Credential	:	PTA
Telephone Number	:	915-351-1851

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	03/13/2025

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Directions to “MB CARE LLC ” Practice Location

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