Organization Active NPI

Mukendi Family Care LLC

  • Home Health Agency
  • Lewiston, ME
National Provider Identifier
1023722675
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MUKENDI FAMILY CARE LLC
Doing business as
Mukendi Family care LLC
Practice address
14 Darcy St
Lewiston, ME 04240-2041
Phone
(207) 344-5731
NPI assigned
Jan 9, 2023
Last updated
Jan 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Mr. Edho K Mukendi
Title
Excuitive Director
Phone
(207) 344-5731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

14 Darcy St
Lewiston, ME 04240-2041

Mailing address

14 Darcy St
Lewiston, ME 04240-2041
Phone (207) 344-5731

Other names 1

  • Mukendi Family care LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1023722675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DARCY ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042402041",
            "telephone_number": "207-344-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DARCY ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042402041",
            "telephone_number": "207-344-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUKENDI FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "MUKENDI",
        "authorized_official_first_name": "EDHO",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXCUITIVE DIRECTOR",
        "authorized_official_telephone_number": "207-344-5731",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mukendi Family care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.