Mavilcare Home Health Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MAVILCARE HOME HEALTH AGENCY

Practice address

10931 E Independence Blvd Ste a-3
Matthews, NC 28105-0005

Phone

(704) 779-4124

NPI assigned

Apr 28, 2020

Organization subpart

No

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

Authorized official

Name

Charles Anayo Ukwu

Title

Agency Director

Phone

(704) 779-4124

Specialties & licenses 2

Addresses

Other names 1

• MAVILCARE HOME CARE AGENCY Doing business as

Locations

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1568083707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10931 E INDEPENDENCE BLVD STE A-3",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281050005",
            "telephone_number": "704-779-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10931 E INDEPENDENCE BLVD STE A-3",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281050005",
            "telephone_number": "704-779-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVILCARE HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "UKWU",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ANAYO",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "704-779-4124"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAVILCARE HOME CARE AGENCY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MAVILCARE HOME CARE AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthews Surgery Center, LLC
• Ernest Prince Matthews II, LMT
• Huston Johnson Mattson IV, LAT, ATC
• Robert Charles Matulonis, D.O.
• Larry Maugel, M.D.
• Max Motion
• Rosalyn Gioia Mazoway, MS RN
• McAdams Free Clinic
• Lou Ann McAdams, MD
• Alicia G. McArthur, LCMHC

• In Home Supportive Care Agency in Matthews, NC
• Providers in Matthews, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.