Organization Active NPI

MP Living Care LLC

  • In Home Supportive Care Agency
  • Auburn, ME
National Provider Identifier
1700594355
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Jan 31, 2023

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)CodeLicenseStatePrimary
Adult Development & Aging PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jilunga@homewellcares.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.