Mba in-Home Service LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

6448 Issued in MO

Legal business name

MBA IN-HOME SERVICE LLC

Practice address

1217 W Malone Ave
Sikeston, MO 63801

Phone

(573) 481-1088

Fax

(573) 475-8774

NPI assigned

Dec 19, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Rhonda L Williams, MASTER'S OF ARTS

Title

Director/Owner

Phone

(573) 481-1088

Specialties & licenses 1

Addresses

Tax ID family

Mba in-Home Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mba in-Home Services LLC

  • In Home Supportive Care Agency
  • Sikeston, MO
  • NPI 1730607607
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mba in-Home Services LLC

  • In Home Supportive Care Agency
  • Sikeston, MO
  • NPI 1730607607
  NPPES parent name

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1548776131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1386",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638011386",
            "telephone_number": "573-481-1088",
            "fax_number": "573-475-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 W MALONE AVE",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "63801",
            "telephone_number": "573-481-1088",
            "fax_number": "573-475-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBA IN-HOME SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "573-481-1088",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MASTER'S OF ARTS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MO",
            "license": "6448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Massey, DPT
• Michelle Renee Masters, COTA
• Fallan Nichole Mayabb, M.D.
• Trevin Mayabb, M.D.
• Mba CDS Services LLC
• Mba in-Home Services LLC
• Hayley Bernice McCollum, LPC, CRC, NCC
• Ron McCormick Jr.
• Alana Michele McCoy, FNP-C
• Linda M McCoy, O.T.

• Exclusive Provider Organization in Sikeston, MO
• Providers in Sikeston, MO by specialty
• Exclusive Provider Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.