Active NPI
Mahlet Home Care LLC
- Adult Care Home Facility
- Sun Prairie, WI
National Provider Identifier
1366251688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- MAHLET HOME CARE LLC
- Practice address
- 1016 New Haven Cir
Sun Prairie, WI 53590-8902 - Phone
- (214) 584-8850
- NPI assigned
- Jan 1, 2025
- Last updated
- Jan 1, 2025
- 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
- Tarikua K Tesfay
- Title
- Director
- Phone
- (214) 584-8850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
1016 New Haven Cir
Sun Prairie, WI 53590-8902
Mailing address
1715 Linnerud Dr PO Box 331
Sun Prairie, WI 53590-8902
Phone (214) 584-8850
National Provider Directory
National Provider DirectoryLocations
1715 Linnerud Dr
Unit 331
Sun Prairie, WI 53590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735689600000",
"number": "1366251688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 LINNERUD DR PO BOX 331",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535908902",
"telephone_number": "214-584-8850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 NEW HAVEN CIR",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535908902",
"telephone_number": "214-584-8850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAHLET HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-01",
"last_updated": "2025-01-01",
"certification_date": "2025-01-01",
"status": "A",
"authorized_official_last_name": "TESFAY",
"authorized_official_first_name": "TARIKUA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "214-584-8850"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.