Organization Active NPI

Marage Homes LLC

  • Community/Behavioral Health Agency
  • Norfolk, VA
National Provider Identifier
1477910511
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2477 Issued in VA
Legal business name
MARAGE HOMES LLC
Practice address
9313 Sloane St
Norfolk, VA 23503-4329
Phone
(757) 985-4740
NPI assigned
Jan 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Mrs. Sukiea Kakouche
Title
Owner
Phone
(757) 985-4740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2477 VA Primary

Addresses

Primary practice location

9313 Sloane St
Norfolk, VA 23503-4329

Mailing address

9313 Sloane St
Norfolk, VA 23503-4329
Phone (757) 985-4740

Other practice location 1

2613 Elon Dr
Virginia Beach, VA 23454-4355
Phone (757) 240-7467

Other identifiers 1

IdentifierTypeStateIssuer
2477MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250218002178 VA Part B Supplier - Clinic/Group Practice 9133649312 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, VA

National Provider Directory

National Provider Directory

Locations

9313 Sloane St
Norfolk, VA 23503
Phone (757) 957-3191

Practitioners & affiliated clinicians

Practitioners 3

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": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1477910511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9313 SLOANE ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235034329",
            "telephone_number": "757-985-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 SLOANE ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235034329",
            "telephone_number": "757-985-4740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2613 Elon Dr",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234544355",
            "country_code": "US",
            "telephone_number": "757-240-7467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARAGE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "KAKOUCHE",
        "authorized_official_first_name": "SUKIEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-985-4740",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "2477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2477",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.