MKB Community Living,LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MKB COMMUNITY LIVING,LLC

Practice address

617 Cresent Dr
Desoto, TX 75115-8017

Phone

(817) 233-0276

Fax

(469) 780-7453

NPI assigned

Jul 8, 2024

Organization subpart

No

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

Authorized official

Name

Keseya BoydNPI 1912530551

Title

Owner

Phone

(817) 233-0276

Specialties & licenses 1

Addresses

Tax ID family

MKB Community Livingllc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• MKB Community Living,LLC

  • Assisted Living Facility
  • Dallas, TX
  • NPI 1881444768
  NPD tax ID

Practitioners 1

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

• Keseya Kemyada Boyd

  • Home Health Registered Nurse
  • Fort Worth, TX
  • NPI 1912530551
  NPD Authorized official

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1235975418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 CRESENT DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158017",
            "telephone_number": "817-233-0276",
            "fax_number": "469-780-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 CRESENT DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158017",
            "telephone_number": "817-233-0276",
            "fax_number": "469-780-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKB COMMUNITY LIVING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-07",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "KESEYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-233-0276"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naila Sarwat Mirza, M.D.
• Seneca Darnelle Mitchell-Creer, RDA X2
• Cassandra Latrice Mitchell, MA, LPC
• Micheal Jermaine Mitchell
• Miyah Charray Mitchell, HAIR LOSS SPECIALIST
• Michelle Moate, MD
• Mobile Medic USA,P.L.L.C.
• Modern Back and Neck Clinic Inc
• Olivia Moffett
• Mompremier Eye Institute, PLLC

• Home Health Agency in Desoto, TX
• Providers in Desoto, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.