M & M Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

M & M HOME CARE

Practice address

3501 30TH Ave S Apt 21
Fargo, ND 58103-6244

Phone

(701) 730-6597

NPI assigned

May 8, 2024

Organization subpart

No

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

Authorized official

Name

Mekewon Kerbay

Title

Ceo

Phone

(701) 730-6597

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1811745508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 30TH AVE S APT 21",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036244",
            "telephone_number": "701-730-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 30TH AVE S APT 21",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036244",
            "telephone_number": "701-730-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "KERBAY",
        "authorized_official_first_name": "MEKEWON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-730-6597"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Lynne
• Michael Lyons, LAT, ATC
• Desseree Marie Lysne-Burson, D.M.D.
• Jeffrey K Lystad, MD
• Jadene Sue Lyste
• M Spine & Joint Surgery Center LLC
• Jason Ma, RPH
• Maa Enterprise LLC
• Brody Maack, PHARM.D.
• Sarah Maack, RN, CDE

• In Home Supportive Care Agency in Fargo, ND
• Providers in Fargo, ND by specialty
• In Home Supportive Care Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.