Macks Home Care LLC

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Legal business name

MACKS HOME CARE LLC

Practice address

11 Temple LN
New Waverly, TX 77358

Phone

(312) 481-4695

NPI assigned

Aug 26, 2020

Last updated

Aug 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian McBeth

Title

Managin MBR

Phone

(312) 481-4695

Specialties & licenses 1

Addresses

Other names 1

• macks home care llc Former legal business name

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1518570878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 W COMMERCE ST STE 4959",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081953",
            "telephone_number": "312-481-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 TEMPLE LN",
            "city": "NEW WAVERLY",
            "state": "TX",
            "postal_code": "77358",
            "telephone_number": "312-481-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2023-08-02",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "MCBETH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MANAGIN MBR",
        "authorized_official_telephone_number": "312-481-4695"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "macks home care llc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "macks home care llc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "macks home care llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Transportation Broker in New Waverly, TX
• Providers in New Waverly, TX by specialty
• Transportation Broker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.