Organization Active NPI

Mkaddesh Enterprises LLC

  • Home Health Agency
  • Flint, MI
National Provider Identifier
1487415907
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MKADDESH ENTERPRISES LLC
Practice address
2425 S Linden Rd Ste D138
Flint, MI 48532-5482
Phone
(810) 339-6942
NPI assigned
Jan 22, 2024
Organization subpart
Yes
Parent organization
MKADDESH ENTERPRISES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Tasheikya HunterNPI 1871146423
Title
Owner
Phone
(810) 339-6942

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

2425 S Linden Rd Ste D138
Flint, MI 48532-5482

Mailing address

2425 S Linden Rd Ste D138
Flint, MI 48532-5482

Other names 1

  • Premiere Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mkaddesh Enterprises LLC2 organizations share this tax ID, including this one
Part of
Mkaddesh Enterprises LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2425 S Linden Rd
Ste D138
Flint, MI 48532
Phone (810) 339-6942

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1487415907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 S LINDEN RD STE D138",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 S LINDEN RD STE D138",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325482",
            "telephone_number": "810-339-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKADDESH ENTERPRISES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MKADDESH ENTERPRISES LLC",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "TASHEIKYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-339-6942"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premiere Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.