Mary Oaks Home Care LLP

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MARY OAKS HOME CARE LLP

Practice address

4930 Illinois Rd Ste 6
Fort Wayne, IN 46804-5105

Phone

(888) 889-8963

NPI assigned

Sep 4, 2024

Last updated

Nov 6, 2025By 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

Shuntea Jenkins

Title

Executive Director

Phone

(260) 994-0202

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1881429439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 ILLINOIS RD STE 6",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045105",
            "telephone_number": "888-299-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 ILLINOIS RD STE 6",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045105",
            "telephone_number": "888-889-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY OAKS HOME CARE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "SHUNTEA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "260-994-0202"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.