Active NPI
The Mamie B Taylor in Home Care Health Agency LLC
- In Home Supportive Care Agency
- Junction City, KS
National Provider Identifier
1033554530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 98575
- Legal business name
- THE MAMIE B TAYLOR IN HOME CARE HEALTH AGENCY LLC
- Practice address
- 1909 Coyote CT
Junction City, KS 66441-2665 - Phone
- (785) 410-4124
- Fax
- (785) 238-8312
- NPI assigned
- May 9, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sallie L Brown
- Title
- Ceo
- Phone
- (785) 410-4124
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 98575 | KS | Primary |
Addresses
Primary practice location
1909 Coyote CT
Junction City, KS 66441-2665
Mailing address
1909 Coyote CT
Junction City, KS 66441-2665
Phone (785) 410-4124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 078797596 | Other | KS | DUN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368057600000",
"number": "1033554530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 COYOTE CT",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664412665",
"telephone_number": "785-410-4124",
"fax_number": "785-238-8312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 COYOTE CT",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664412665",
"telephone_number": "785-410-4124",
"fax_number": "785-238-8312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE MAMIE B TAYLOR IN HOME CARE HEALTH AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-09",
"last_updated": "2013-05-09",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "SALLIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "785-410-4124"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "KS",
"license": "98575",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DUN",
"identifier": "078797596",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Junction City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.