Active NPI
MP Living Care LLC
- In Home Supportive Care Agency
- Auburn, ME
National Provider Identifier
1700594355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- MP LIVING CARE LLC
- Practice address
- 227 Seventh St
Auburn, ME 04210-6626 - Phone
- (347) 740-5264
- NPI assigned
- Nov 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Johnny Tshikula Ilunga
- Title
- Chief Executive Officer
- Phone
- (134) 774-0526
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
227 Seventh St
Auburn, ME 04210-6626
Mailing address
227 Seventh St
Auburn, ME 04210-6626
Phone (347) 740-5264
Other names 1
- Homewell Care Services
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jilunga@homewellcares.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675123200000",
"number": "1700594355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 SEVENTH ST",
"city": "AUBURN",
"state": "ME",
"postal_code": "042106626",
"telephone_number": "347-740-5264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 SEVENTH ST",
"city": "AUBURN",
"state": "ME",
"postal_code": "042106626",
"telephone_number": "347-740-5264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MP LIVING CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-14",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A",
"authorized_official_last_name": "ILUNGA",
"authorized_official_first_name": "JOHNNY",
"authorized_official_middle_name": "TSHIKULA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "134-774-0526"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jilunga@homewellcares.com",
"affiliation": "N",
"endpointDescription": "Work email address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "227 Seventh St",
"city": "Auburn",
"state": "ME",
"country_code": "US",
"postal_code": "042106626",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Homewell Care Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Auburn, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.