Main Source Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAIN SOURCE HOME CARE LLC

Practice address

514 Inspiration Dr
Lancaster, TX 75146-2142

Phone

(469) 222-1376

NPI assigned

Oct 7, 2020

Organization subpart

No

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

Authorized official

Name

Markiesia Scott

Title

Owner

Phone

(469) 222-1376

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1922605476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 INSPIRATION DR",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751462142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 INSPIRATION DR",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751462142",
            "telephone_number": "469-222-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN SOURCE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MARKIESIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-222-1376"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myisha Long, LCSW
• Lous Top Shelf Services LLC
• Breck Lowe, PRESIDENT
• Shambrese Nesha Luckey-Thomas, CPHT RPT
• Assia Mahmood, D.C.
• Shanda T Mallory
• Deborah Jeanette Malone
• Meagan Martin, CHW
• Nancy Martinez
• Sammy Robert Masso, R.PH.

• Home Health Agency in Lancaster, TX
• Providers in Lancaster, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.