Mikails Angelic Xtra Intelligent Care Corp

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MIKAILS ANGELIC XTRA INTELLIGENT CARE CORP

Practice address

29 Jordan Dr
Medford, NY 11763-2050

Phone

(646) 831-6206

NPI assigned

Mar 18, 2024

Organization subpart

No

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

Authorized official

Name

Fahim Sadar

Title

Owner

Phone

(646) 831-6206

Specialties & licenses 1

Addresses

Other names 1

• MAXI Care Doing business as

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1811756273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 JORDAN DR",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632050",
            "telephone_number": "646-831-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 JORDAN DR",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632050",
            "telephone_number": "646-831-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKAILS ANGELIC XTRA INTELLIGENT CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "SADAR",
        "authorized_official_first_name": "FAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-831-6206"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAXI Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaclyn Michelli, CCC-SLP
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• Anthony Francis Micucci, D.C.
• Mid-Island Medical Imaging, P.C.
• Nicole Ryann Mihalik, MA
• Susan F Miller, OTR
• Shawndel Minter
• Jessica Mistretta
• Sandra Mitchell, LMHC
• Rebecca Molino

• Home Health Agency in Medford, NY
• Providers in Medford, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.