Provider Demographics
NPI:1730805284
Name:MONAS CARE LLC
Entity type:Organization
Organization Name:MONAS CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAIMUNA
Authorized Official - Middle Name:
Authorized Official - Last Name:NYEMB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-709-1167
Mailing Address - Street 1:347 E SOUTHERN AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-5406
Mailing Address - Country:US
Mailing Address - Phone:623-388-7359
Mailing Address - Fax:
Practice Address - Street 1:347 E SOUTHERN AVE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-5406
Practice Address - Country:US
Practice Address - Phone:623-388-7359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty