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MAVERICK NEUROLOGICAL HEALTHCARE GROUP INC. NPI 1609501436


NPI Information

NPI: 1609501436
Provider Name: MAVERICK NEUROLOGICAL HEALTHCARE GROUP, INC.

Doing Business As: NEUROCARE SPECIALTY HOME CARE

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
120 VANTIS DR STE 300
ALISO VIEJO, CA
ZIP 92656
Phone: (949) 216-5185
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MAVERICK NEUROLOGICAL HEALTHCARE GROUP, INC. is an in home supportive care in Aliso Viejo, CA. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. MAVERICK NEUROLOGICAL HEALTHCARE GROUP, INC. NPI is 1609501436. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Neurocare Specialty Home Care.

The provider's business location address is:

120 VANTIS DR STE 300
ALISO VIEJO, CA
ZIP 92656-677
Phone: (949) 216-5185
Fax: (949) 299-2715

The provider's authorized official is Sharon Surette Johnson .
The authorized official title is Chief Executive Officer and has the following contact phone number (949) 216-5185.

The enumeration date for this NPI number is 7/17/2022 and was last updated on 1/4/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13747P1801XTechnicianPersonal Care AttendantNo
2376J00000XHomemakerNo
3253Z00000XIn Home Supportive CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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