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Contact Information

MAVERICK NEUROLOGICAL HEALTHCARE GROUP, INC.
120 VANTIS DR STE 300
ALISO VIEJO, CA92656-2677
 Phone: 949-216-5185
 Fax: 949-299-2715
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Homemaker

376J00000X
 

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for MAVERICK NEUROLOGICAL HEALTHCARE GROUP, INC.

NPI # 1609501436
LBN Legal business name MAVERICK NEUROLOGICAL HEALTHCARE GROUP, INC.
Authorized official SHARON JOHNSON - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/17/2022
Last updated 01/04/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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