Organization Active NPI

Madnik, Inc

Doing business as Comfort Keepers 416/191

  • In Home Supportive Care Agency
  • Mission Viejo, CA
National Provider Identifier
1689814519
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MADNIK, INC
Doing business as
Comfort Keepers 416/191
Practice address
26381 Crown Valley Pkwy
231-C
Mission Viejo, CA 92691-6368
Phone
(949) 716-8832
Fax
(949) 716-8832
NPI assigned
Mar 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Mr. George Philip Pusateri
Title
Owner
Phone
(949) 716-8832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

26381 Crown Valley Pkwy
231-C
Mission Viejo, CA 92691-6368

Mailing address

26381 Crown Valley Pkwy
231-C
Mission Viejo, CA 92691-6368
Phone (949) 716-8832

Other names 1

  • Comfort Keepers 416/191 Doing business as

National Provider Directory

National Provider Directory

Locations

26381 Crown Valley Pkwy
#231C
Mission Viejo, CA 92691
Phone (949) 716-8832

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1689814519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26381 CROWN VALLEY PKWY",
            "address_2": "231-C",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916368",
            "telephone_number": "949-716-8832",
            "fax_number": "949-716-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26381 CROWN VALLEY PKWY",
            "address_2": "231-C",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916368",
            "telephone_number": "949-716-8832",
            "fax_number": "949-716-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADNIK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "PUSATERI",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-716-8832",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers 416/191",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.