Active NPI
Mykala Enterprises, Llcdba Right at Home
- Home Health Agency
- Jackson, MI
National Provider Identifier
1275940231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 2058229
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2058229 | Medicaid | MI |
National Provider Directory
National Provider Directory- Tax ID family
- Mykala Enterprised
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Jackson, MI
- NPI 1558731554
-
- Home Health Agency
- Jackson, MI
- NPI 1366758336
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.