Organization Active NPI

Michokan Bee International LLC

  • Home Health Agency
  • Colton, CA
National Provider Identifier
1396219507
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MICHOKAN BEE INTERNATIONAL LLC
Practice address
1003 E Cooley Dr Ste 104
Colton, CA 92324-3906
Phone
(310) 770-5451
NPI assigned
Jan 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Authorized official

Name
Bernadette OkonkwoNPI 1588030506
Title
Owner
Phone
(310) 770-5451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1003 E Cooley Dr Ste 104
Colton, CA 92324-3906

Mailing address

1003 E Cooley Dr Ste 104
Colton, CA 92324-3906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210826001508 CA Part A Provider - Home Health Agency 2860897063 Practice locations: Colton, CA

Home health agency certification: CCN 757713

Legal name
MICHOKAN BEE INTERNATIONAL LLC
Doing business as
ADAI HOMEHEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 3, 2024
Last certification
Mar 22, 2024
Organization structure
LLCProprietary
Incorporated
Aug 30, 2018 in CA
Enrollment address
1003 E Cooley Dr
Ste 104
Colton, CA 92324-3906

Care Compare: Home health agency

Medicare Care Compare
Listed as
Adai Homehealth ServicesCCN 757713
Ownership
-
Certified
Apr 3, 2024
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2301157Michokan Bee International LLC1003 E Cooley Dr Ste 104, Colton, CA 92324Certificate of waiverMar 20, 2028

National Provider Directory

National Provider Directory

Locations

1003 E Cooley Dr
Ste 104
Colton, CA 92324
Phone (310) 770-5451

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bernadette Okonkwo Individual 5% Or Greater Direct Ownership Interest Aug 30, 2018 50%
Corporate Officer Aug 30, 2018
Corporate Director Aug 30, 2018
W-2 Managing Employee Aug 30, 2018
Nnaemeka Okonkwo Individual 5% Or Greater Direct Ownership Interest Aug 30, 2018 50%
Corporate DirectorPresident Aug 30, 2018 50%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1396219507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 E COOLEY DR STE 104",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E COOLEY DR STE 104",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243906",
            "telephone_number": "310-770-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHOKAN BEE INTERNATIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "OKONKWO",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-770-5451"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.