Organization Active NPI

MMK Care Services

  • Adult Care Home Facility
  • Shawnee, KS
National Provider Identifier
1902597503
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
MMK CARE SERVICES
Practice address
13503 Blackfish Pkwy
Shawnee, KS 66216-5533
Phone
(913) 265-2729
Fax
(913) 426-9122
NPI assigned
May 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Phillimina Njau Tubei
Title
Owner
Phone
(913) 265-2729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

13503 Blackfish Pkwy
Shawnee, KS 66216-5533

Mailing address

13503 Blackfish Pkwy
Shawnee, KS 66216-5533
Phone (913) 265-2729

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1902597503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13503 BLACKFISH PKWY",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662165533",
            "telephone_number": "913-265-2729",
            "fax_number": "913-426-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13503 BLACKFISH PKWY",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662165533",
            "telephone_number": "913-265-2729",
            "fax_number": "913-426-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMK CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "TUBEI",
        "authorized_official_first_name": "PHILLIMINA",
        "authorized_official_middle_name": "NJAU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-265-2729"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.