Organization Active NPI

Mykala Enterprises LLC

  • Home Health Agency
  • Jackson, MI
National Provider Identifier
1366758336
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
N/A Issued in MI
Legal business name
MYKALA ENTERPRISES LLC
Practice address
744 W Michigan Ave
Jackson, MI 49201-1909
Phone
(517) 768-0900
Fax
(517) 768-0909
NPI assigned
Aug 27, 2010
Last updated
Aug 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Authorized official

Name
Mrs. Kay Marilyn Mykala
Title
Member
Phone
(517) 768-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X N/A MI Primary

Addresses

Primary practice location

744 W Michigan Ave
Jackson, MI 49201-1909

Mailing address

744 W Michigan Ave
Jackson, MI 49201-1909
Phone (517) 768-0900

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.

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1366758336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011909",
            "telephone_number": "517-768-0900",
            "fax_number": "517-768-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011909",
            "telephone_number": "517-768-0900",
            "fax_number": "517-768-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYKALA ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "MYKALA",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "MARILYN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "517-768-0900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 27, 2010; 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.