Organization Active NPI

MKM Home Care Agency LLC

  • In Home Supportive Care Agency
  • Wilson, NC
National Provider Identifier
1699620344
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MKM HOME CARE AGENCY LLC
Practice address
2841 Daisy LN N Ste a
Wilson, NC 27896-6948
Phone
(252) 294-0551
NPI assigned
Feb 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Iris Reid
Title
Administrator
Phone
(252) 373-3271

Specialties & licenses 1

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

Addresses

Primary practice location

2841 Daisy LN N Ste a
Wilson, NC 27896-6948

Mailing address

2841 Daisy LN N Ste a
Wilson, NC 27896-6948
Phone (252) 294-0551

National Provider Directory

National Provider Directory

Locations

2841 Daisy Ln N
Ste A
Wilson, NC 27896
Phone (252) 294-0551

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1699620344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 DAISY LN N STE A",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278966948",
            "telephone_number": "252-294-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 DAISY LN N STE A",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278966948",
            "telephone_number": "252-294-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKM HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-373-3271"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.