Organization Active NPI

MSDK Homecare Services LLC

Doing business as Homewell Care Services Nc227

  • In Home Supportive Care Agency
  • Apex, NC
National Provider Identifier
1629848072
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MSDK HOMECARE SERVICES LLC
Doing business as
Homewell Care Services Nc227
Practice address
813 Haybeck LN
Apex, NC 27523-6193
Phone
(313) 421-8350
NPI assigned
Jan 8, 2024
Last updated
Jan 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Mahidhar MiriyalaNPI 1790516235
Title
Managing Member/Owner
Phone
(313) 421-8350

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
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

813 Haybeck LN
Apex, NC 27523-6193

Mailing address

813 Haybeck LN
Apex, NC 27523-6193
Phone (313) 421-8350

Other names 1

  • HOMEWELL CARE SERVICES NC227 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1629848072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 HAYBECK LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275236193",
            "telephone_number": "313-421-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 HAYBECK LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275236193",
            "telephone_number": "313-421-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSDK HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-06",
        "status": "A",
        "authorized_official_last_name": "MIRIYALA",
        "authorized_official_first_name": "MAHIDHAR",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "313-421-8350"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMEWELL CARE SERVICES NC227",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.