Provider Demographics
NPI:1306080775
Name:MOUNT SINAI HOME HEALTH AGENCY, LLC
Entity type:Organization
Organization Name:MOUNT SINAI HOME HEALTH AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MAXIMILIANO
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALONSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-409-3320
Mailing Address - Street 1:2001 NW 7TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-3479
Mailing Address - Country:US
Mailing Address - Phone:305-642-0603
Mailing Address - Fax:305-642-0390
Practice Address - Street 1:2001 NW 7TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-3479
Practice Address - Country:US
Practice Address - Phone:305-642-0603
Practice Address - Fax:305-642-0390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care