Organization Active NPI

Mable'S Place LLC

  • Home Health Aide
  • South Bend, IN
National Provider Identifier
1861222739
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
MABLE'S PLACE LLC
Doing business as
Mable's Homecare LLC
Practice address
3518 Northside Blvd Apt B7
South Bend, IN 46615-2041
Phone
(574) 222-6080
NPI assigned
Aug 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Ms. Takiya Monique Lovelady, LLC
Title
Home Health Agency
Phone
(574) 222-6080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

3518 Northside Blvd Apt B7
South Bend, IN 46615-2041

Mailing address

3518 Northside Blvd Apt B7
South Bend, IN 46615-2041
Phone (574) 222-6080

Other names 1

  • Mable's Homecare LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1861222739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 NORTHSIDE BLVD APT B7",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466152041",
            "telephone_number": "574-222-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3518 NORTHSIDE BLVD APT B7",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466152041",
            "telephone_number": "574-222-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABLE'S PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "LOVELADY",
        "authorized_official_first_name": "TAKIYA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "HOME HEALTH AGENCY",
        "authorized_official_telephone_number": "574-222-6080",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LLC"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mable's Homecare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.