Mba in-Home Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MBA IN-HOME SERVICES LLC

Practice address

613 Davis Blvd
Sikeston, MO 63801-1958

Phone

(573) 481-1088

Fax

(573) 355-5925

NPI assigned

Aug 31, 2017

Organization subpart

Yes

Parent organization

MBA IN-HOME SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Miss Rhonda L Williams, MASTER'S OF ARTS

Title

Owner/Director

Phone

(573) 481-1088

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Mba in-Home Services LLC2 organizations share this tax ID, including this one

Part of

Mba in-Home Services LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mba in-Home Service LLC

  • Exclusive Provider Organization
  • Sikeston, MO
  • NPI 1548776131
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mba in-Home Service LLC

  • Exclusive Provider Organization
  • Sikeston, MO
  • NPI 1548776131
  NPPES parent name

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1730607607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1386",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638011386",
            "telephone_number": "573-481-1088",
            "fax_number": "573-355-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 DAVIS BLVD",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638011958",
            "telephone_number": "573-481-1088",
            "fax_number": "573-355-5925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Vandiver Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652023915",
            "country_code": "US",
            "telephone_number": "573-615-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MBA IN-HOME SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MBA IN-HOME SERVICES, LLC",
        "enumeration_date": "2017-08-31",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "573-481-1088",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MASTER'S OF ARTS"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MO",
            "license": "6448",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI",
            "identifier": "23454555",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Renee Masters, COTA
• Fallan Nichole Mayabb, M.D.
• Trevin Mayabb, M.D.
• Mba CDS Services LLC
• Mba in-Home Service LLC
• Hayley Bernice McCollum, LPC, CRC, NCC
• Ron McCormick Jr.
• Alana Michele McCoy, FNP-C
• Linda M McCoy, O.T.
• Alexandria Jordan McCullough, LMSW

• In Home Supportive Care Agency in Sikeston, MO
• Providers in Sikeston, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.