Mycna LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MYCNA LLC

Practice address

3309 Bernard St
La Porte, TX 77571-3827

Phone

(281) 383-0017

NPI assigned

May 5, 2021

Organization subpart

No

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

Authorized official

Name

Raul A Flores

Title

Owner

Phone

(281) 383-0017

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Morgan Davis

  • Student in an Organized Health Care Education/Training Program
  • La Porte, TX
  • NPI 1891372835
  NPD

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1104400241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 BERNARD ST",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775713827",
            "telephone_number": "281-383-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 BERNARD ST",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775713827",
            "telephone_number": "281-383-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYCNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-383-0017"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shieva Shams Molavi, D.D.S., M.S.
• Marilyn Monroe-Taylor
• Mordon LLC
• Mindy Lorena Mullery, PHARMACIST
• Amanda Colleen Murray, LVN
• Nerve Integrity Monitoring PLLC
• Terry S. Newman, MD
• Nexion Health at Bay Ridge, Inc.
• Angelique Dede Norris, RPH
• Northland Hearing Centers, Inc

• In Home Supportive Care Agency in La Porte, TX
• Providers in La Porte, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.