Mak Development, LLC.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MAK DEVELOPMENT, LLC.

Doing business as

Michael House

Practice address

4825 Ames Ave
Omaha, NE 68104-2383

Phone

(402) 301-6600

NPI assigned

Mar 30, 2022

Organization subpart

No

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

Authorized official

Name

Michael Corrado

Title

Owner

Phone

(402) 917-0926

Specialties & licenses 2

Addresses

Other names 1

• Michael House Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Lynna Robinson, PLADC

  • Addiction (Substance Use Disorder) Counselor
  • Omaha, NE
  • NPI 1972045607
  Medicare reassignment NPD
• Jane Prine

  • Addiction (Substance Use Disorder) Counselor
  • Council Bluffs, IA
  • NPI 1952632614

  NE

  Medicare reassignment NPD
• Kelley A Lutjen, PLADC

  • Addiction (Substance Use Disorder) Counselor
  • Omaha, NE
  • NPI 1912550823
  NPD
• Connor Naven McGinnis, CPSS

  • Peer Specialist
  • Omaha, NE
  • NPI 1215899984
  NPD

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1831839646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6607 MAPLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681043901",
            "telephone_number": "402-301-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 AMES AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681042383",
            "telephone_number": "402-301-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAK DEVELOPMENT, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "CORRADO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-917-0926"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Afra Osman Majezoup
• Majic Movement Chiropractic
• Wazhma Majidi
• Major Home Health, LLC
• Miranda Major
• Hannah Michelle Mak
• Michael Keenan Mak, M.D.
• Bonginkosi Malusi Makalima, MS
• Abdulrahman Makame
• John H. Makari, MD

• Substance Abuse Rehabilitation Facility in Omaha, NE
• Providers in Omaha, NE by specialty
• Substance Abuse Rehabilitation Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.