Mga Home Healthcare Fayetteville, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

MGA HOME HEALTHCARE FAYETTEVILLE, LLC

Practice address

4700 Homewood CT Ste 310
Raleigh, NC 27609-5732

Phone

(919) 241-7781

NPI assigned

Apr 7, 2021

Organization subpart

No

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

Authorized official

Name

Melody Beaty

Title

VP Clinical Operations

Phone

(704) 200-9015

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• MGA Homecare Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Mga Home Healthcare Fayetteville LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Mga Home Healthcare Fayetteville, LLC

  • Nursing Care Agency
  • Fayetteville, NC
  • NPI 1518613330
  NPD tax ID
• Mga Home Healthcare Fayetteville, LLC

  • Nursing Care Agency
  • Winston-Salem, NC
  • NPI 1639825458
  NPD tax ID
• Mga Home Healthcare Fayetteville, LLC

  • Nursing Care Agency
  • Charlotte, NC
  • NPI 1770160210
  NPD tax ID

Locations

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1659950442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 HOMEWOOD CT STE 310",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095732",
            "telephone_number": "919-241-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 HOMEWOOD CT STE 310",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095732",
            "telephone_number": "919-241-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGA HOME HEALTHCARE FAYETTEVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "VP CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "704-200-9015"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC6067",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC6297",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC6135",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MGA Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MGA Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaylee Meyers, LCSW
• Michael R Meyers
• Bailey Meyne, LCSWA, J.D., LMSW
• Daniel Francis Meyring, PA-C
• Jack Paul Meza Leon
• MH Nursing Service, Inc.
• Patricia Mial-Mosley
• Veronica Yvonne Mial, MSW
• Michael a Derose DDS PA
• Michael C Comstock MD

• Nursing Care Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Nursing Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.