Macknificent Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MACKNIFICENT CARE LLC

Practice address

5019 W North Ave Ste 108
Milwaukee, WI 53208-1121

Phone

(414) 509-4661

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Maryah S Mack

Title

Owner

Phone

(414) 509-4661

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1942082854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 W CENTER ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532062106",
            "telephone_number": "414-509-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 W NORTH AVE STE 108",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532081121",
            "telephone_number": "414-509-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKNIFICENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "MARYAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-509-4661"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cichon Mackinnon, M.D.
• Karen Jean Mackinnon
• Jennifer Macklin, PHARM.D.
• Jessica Macklin, PHARM.D.
• Sean Anthony Mackman, M.D.
• Michael Thomas Mackowiak, RPH
• Sherley Maclean
• Julie Kindervater Maclellan, MSOTRL
• James Stuart Macleod, MD
• Kathy Ann Maclin

• In Home Supportive Care Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• In Home Supportive Care Agency in Wisconsin

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