MD Enterprises LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

15753601 Issued in PA

Legal business name

MD ENTERPRISES LLC

Doing business as

Comfort Keepers #488

Practice address

261 S Church St
Hazleton, PA 18201

Phone

(570) 450-0890

Fax

(570) 450-5617

NPI assigned

Oct 14, 2014

Organization subpart

No

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

Authorized official

Name

Stephen Duncan

Title

Billing Administrator

Phone

(570) 450-0890

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Comfort Keepers #488 Doing business as

Locations

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1053715425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 S CHURCH STREET",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "18201",
            "telephone_number": "570-450-0890",
            "fax_number": "570-450-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 S CHURCH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "18201",
            "telephone_number": "570-450-0890",
            "fax_number": "570-450-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "570-450-0890"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "15753601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001957544",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers #488",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynne Ann Mayo, PSY.D.
• Lauren Ann McGill, LMFT
• Daniel Patrick McHugh, DO
• Mara McLaughlin-Gombeda, LCSW
• McNelis Home Care Company Inc.
• Med Stat Ambulance LP
• Kaitlyn Meighan, PA
• Carlos R Mejia
• Lisa Meluskey
• Darren Mena, PA-C

• In Home Supportive Care Agency in Hazleton, PA
• Providers in Hazleton, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.