Organization Active NPI

Ma Home Health LLC

  • Home Health Agency
  • Fort Wayne, IN
National Provider Identifier
1003620840
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MA HOME HEALTH LLC
Practice address
5800 Fairfield Ave Ste 143
Fort Wayne, IN 46807-3400
Phone
(260) 750-1587
NPI assigned
Feb 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sacheeda Ma
Title
Vice President/Administrator
Phone
(260) 750-1587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5800 Fairfield Ave Ste 143
Fort Wayne, IN 46807-3400

Mailing address

5800 Fairfield Ave Ste 143
Fort Wayne, IN 46807-3400
Phone (260) 750-1587

National Provider Directory

National Provider Directory

Locations

5800 Fairfield Ave
Ste 143
Fort Wayne, IN 46807
Phone (260) 750-1587

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1003620840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 FAIRFIELD AVE STE 143",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468073400",
            "telephone_number": "260-750-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 FAIRFIELD AVE STE 143",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468073400",
            "telephone_number": "260-750-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MA HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "SACHEEDA",
        "authorized_official_title_or_position": "VICE PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "260-750-1587"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.