MEDICARE: MEB HOME SERVICE SOLUTIONS 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	171WH0202X	Home Modifications Contractor

General Provider Information

NPI Number	:	1578370094
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEB HOME SERVICE SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	1091 SUMMIT OAK DR
Second Line	:
City	:	LAKE FOREST
State	:	CA
Zip	:	92679-1239
Country	:	US
Telephone Number	:	513-748-2410
Fax Number	:

Provider Business Practice Location Address
First Line	:	1091 SUMMIT OAK DR
Second Line	:
City	:	LAKE FOREST
State	:	CA
Zip	:	92679-1239
Country	:	US
Telephone Number	:	513-748-2410
Fax Number	:

Authorized Official
Title or Position	:	OWNER / OPERATOR
Name	:	MARCUS BLANKS
Credential	:
Telephone Number	:	513-748-2410

Provider Enumeration Date	:	12/17/2024
Last Update Date	:	12/17/2024

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