Provider Demographics
NPI:1891502621
Name:MARTA HEALTH CARE SOLUTION INC
Entity type:Organization
Organization Name:MARTA HEALTH CARE SOLUTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADELFINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES COMPANIONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-329-1596
Mailing Address - Street 1:2553 SW 19TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2409
Mailing Address - Country:US
Mailing Address - Phone:786-329-1596
Mailing Address - Fax:
Practice Address - Street 1:2553 SW 19TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2409
Practice Address - Country:US
Practice Address - Phone:786-329-1596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104671800Medicaid