Organization Active NPI

Mahlet Home Care LLC

  • Adult Care Home Facility
  • Sun Prairie, WI
National Provider Identifier
1366251688
Registry record updated Jan 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.