MK Health Service LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MK HEALTH SERVICE LLC

Practice address

5513 Monroe Rd Ste 207
Charlotte, NC 28212-5503

Phone

(980) 273-2726

NPI assigned

Dec 5, 2022

Organization subpart

No

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

Authorized official

Name

Shakica BastfieldNPI 1821728213

Title

Owner

Phone

(980) 273-2726

Specialties & licenses 2

Addresses

Practitioners 1

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

• Shakica N Bastfield

  • Nurse's Aide
  • Charlotte, NC
  • NPI 1821728213
  NPD Authorized official

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1700596392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5513 MONROE RD STE 207",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125503",
            "telephone_number": "980-273-2726",
            "fax_number": "704-332-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5513 MONROE RD STE 207",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125503",
            "telephone_number": "980-273-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK HEALTH SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "BASTFIELD",
        "authorized_official_first_name": "SHAKICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-273-2726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer E Mixter, P.A.
• Jordan Tyler Mizell, MD
• Mackenzie Mizell, MA
• Mja Enterprises Inc.
• Diana N Mjalli
• MLC Holdings LLC
• MLM Home Care,LLC
• MM Home Care, LLC
• MMJ Homecare Solutions
• Rachel Moberg

• In Home Supportive Care Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.