Provider Demographics
NPI:1174172951
Name:MASSON CATERING INC
Entity type:Organization
Organization Name:MASSON CATERING INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:MARANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-887-2243
Mailing Address - Street 1:496 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-4548
Mailing Address - Country:US
Mailing Address - Phone:305-887-2243
Mailing Address - Fax:305-887-0280
Practice Address - Street 1:496 E 9TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-4548
Practice Address - Country:US
Practice Address - Phone:305-887-2243
Practice Address - Fax:305-887-0280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals
No253Z00000XAgenciesIn Home Supportive Care
No332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104602200Medicaid