Masirey Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MASIREY HOME CARE LLC

Practice address

213 W Cottage Grove Rd Ste G9
Cottage Grove, WI 53527-9327

Phone

(231) 343-8538

NPI assigned

Oct 17, 2018

Last updated

Sep 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mustapha KambiNPI 1881029304

Title

Owner/President

Phone

(231) 343-8538

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mustapha Kambi, RN

  • Registered Nurse
  • Madison, WI
  • NPI 1881029304
  NPD Authorized official

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1831665884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W COTTAGE GROVE RD STE G6",
            "city": "COTTAGE GROVE",
            "state": "WI",
            "postal_code": "535279327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W COTTAGE GROVE RD STE G9",
            "city": "COTTAGE GROVE",
            "state": "WI",
            "postal_code": "535279327",
            "telephone_number": "231-343-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASIREY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "KAMBI",
        "authorized_official_first_name": "MUSTAPHA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "231-343-8538"
    },
    "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": [],
    "other_names": []
}

• M&M Courtesy Transportation LLC (Total Care Service Network LLC)
• Mabie Pharmacy, LLC (Forward Pharmacy of Cottage Grove)
• Mabie Pharmacy, LLC (Forward Pharmacy of Cottage Grove)
• Matthew Ryan Mabie, RPH
• Dorothy Jill Mallory, MD
• Jennie MC Cann, MA
• Julia Gillia McMillen, M.D.
• Emily A Metzger, MD
• Leila R Midelfort, MD
• Diane Alane Milanese, M.A. CCC-SLP

• In Home Supportive Care Agency in Cottage Grove, WI
• Providers in Cottage Grove, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.