Mama816 LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MAMA816 LLC

Practice address

600 Eagleview Blvd Ste 300
Exton, PA 19341-1224

Phone

(610) 551-5231

NPI assigned

Jun 2, 2022

Organization subpart

No

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

Authorized official

Name

Kimberly Kokolus

Title

Manager

Phone

(610) 551-5231

Specialties & licenses 2

Addresses

Other names 1

• Home Helpers - Direct Link Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1821737388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4191 FORD DR",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180495365",
            "telephone_number": "610-551-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EAGLEVIEW BLVD STE 300",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411224",
            "telephone_number": "610-551-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMA816 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "KOKOLUS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-551-5231"
    },
    "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": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wellsky",
            "affiliation": "N",
            "endpointDescription": "Wellsky personal care system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "600 Eagleview Blvd Ste 300",
            "city": "Exton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193411224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Home Helpers - Direct Link",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hardikkumar Makadia, DMD
• Premraj Makkuni, MD
• Marina V. Makous, MD
• Shamika Maldonado, LPN,PCHA
• Sharlene Joy Mallon, OTR/L
• Anthony Mangiaracina III, D.O.
• Baylee B Mann, PT, DPT
• Louis M Manna, DDS MD
• John Patrick Manta, M.D.
• Sara E. Marano

• In Home Supportive Care Agency in Exton, PA
• Providers in Exton, 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 Jun 8, 2022; 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.