M-K of North Port L L C

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1455095 Issued in FL

Legal business name

M-K OF NORTH PORT L L C

Doing business as

Quality Health Care Center or Quality Health of North Port

Practice address

6940 Outreach Way
North Port, FL 34287-3405

Phone

(941) 426-8411

Fax

(941) 423-1572

NPI assigned

Jun 14, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Lori King

Title

Administrator

Phone

(941) 426-8411

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Quality Health Care Center or Quality Health of North Port Doing business as

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1114922572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 OUTREACH WAY",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342873405",
            "telephone_number": "941-426-8411",
            "fax_number": "941-423-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 OUTREACH WAY",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342873405",
            "telephone_number": "941-426-8411",
            "fax_number": "941-423-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M-K OF NORTH PORT L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-426-8411",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1455095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022505300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Health Care Center or Quality Health of North Port",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Beth Lukach
• Ava Lukacz, COTA
• Bronwen Lundgren, LMT,MMP
• Rachael Luther, ARNP
• M Home Care LLC
• Nayibel Machado Landin Sr.
• Brent Macphail, LMHC
• Amanda Maes
• Yasmin Mahmoud
• Mary Mahshie

• Skilled Nursing Facility in North Port, FL
• Providers in North Port, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.