Beautiful Mack Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BEAUTIFUL MACK HOME CARE LLC

Practice address

23332 Farmington Rd # 279I
Farmington, MI 48336-9991

Phone

(248) 923-5176

NPI assigned

Aug 21, 2023

Organization subpart

No

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

Authorized official

Name

Kristine Marie Mack

Title

Ceo

Phone

(248) 923-5176

Specialties & licenses 1

Addresses

Other names 1

• BeautifulMack HomeCare LLC Former legal business name

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1487438487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23332 FARMINGTON RD # 279",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483369991",
            "telephone_number": "248-923-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23332 FARMINGTON RD # 279I",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483369991",
            "telephone_number": "248-923-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL MACK HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-923-5176"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BeautifulMack HomeCare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• David A Baird, MD
• Carole Lynn Baker, BSN, CPNP
• Balanced Home Care
• Jilian Jinky Bautista
• Lynne Louise Beaghan, CD(DONA)
• Adeela Beg, MD
• Bellis
• Judith Josephine Bencich-Wloch, MS
• Benestad Chiropractic Centre PC
• Svein Gunnar Benestad, CHIROPRACTOR DC

• All providers in Farmington, MI
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.