Organization Active NPI

Mykala Enterprises, Llcdba Right at Home

  • Home Health Agency
  • Jackson, MI
National Provider Identifier
1275940231
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2058229 Issued in MI
Legal business name
MYKALA ENTERPRISES, LLCDBA RIGHT AT HOME
Practice address
744 W Michigan Ave
Ste 301B
Jackson, MI 49201-1900
Phone
(517) 768-0902
Fax
(517) 768-0909
NPI assigned
Jul 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
Mrs. Kay Marilyln Mykala
Title
Administrator
Phone
(517) 768-0902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2058229 MI Primary

Addresses

Primary practice location

744 W Michigan Ave
Ste 301B
Jackson, MI 49201-1900

Mailing address

755 W Michigan Ave
Suite 301B
Jackson, MI 49201-1908
Phone (517) 768-0902

Other identifiers 1

IdentifierTypeStateIssuer
2058229MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Mykala Enterprised3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

755 W Michigan Ave
Ste 301B
Jackson, MI 49201

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1275940231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 W MICHIGAN AVE",
            "address_2": "SUITE 301B",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011908",
            "telephone_number": "517-768-0902",
            "fax_number": "517-768-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 W MICHIGAN AVE",
            "address_2": "STE 301B",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011900",
            "telephone_number": "517-768-0902",
            "fax_number": "517-768-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYKALA ENTERPRISES, LLCDBA RIGHT AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "MYKALA",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "MARILYLN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "517-768-0902",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "2058229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2058229",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.