Mustang Enterprises, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

21813601 Issued in PA

Legal business name

MUSTANG ENTERPRISES, LLC

Doing business as

Right at Home

Practice address

5450 Steubenville Pike
MC Kees Rocks, PA 15136-1412

Phone

(412) 788-6226

Fax

(412) 788-6228

NPI assigned

Aug 22, 2016

Organization subpart

No

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

Authorized official

Name

Mr. James M Stevens

Title

Owner

Phone

(412) 788-6226

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Right at Home Doing business as

Locations

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1790230530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 STEUBENVILLE PIKE",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361412",
            "telephone_number": "412-788-6226",
            "fax_number": "412-788-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 STEUBENVILLE PIKE",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361412",
            "telephone_number": "412-788-6226",
            "fax_number": "412-788-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTANG ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-788-6226",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "21813601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE PROGRAM PROVIDER",
            "identifier": "102776312-0003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in McKees Rocks, PA
• Providers in McKees Rocks, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.