Organization Active NPI

M.a.K. Superior Home Health LLC

  • Home Health Agency
  • Woodbridge, VA
National Provider Identifier
1972238673
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
M.A.K. SUPERIOR HOME HEALTH LLC
Practice address
13601 Office PL Ste 102a
Woodbridge, VA 22192-4213
Phone
(804) 807-9104
Fax
(571) 520-0356
NPI assigned
Jul 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Med Frances Taqi
Title
Co-Ceo/Administrator
Phone
(571) 354-5365

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X
Respite Care 385H00000X

Addresses

Primary practice location

13601 Office PL Ste 102a
Woodbridge, VA 22192-4213

Mailing address

13601 Office PL Ste 102a
Woodbridge, VA 22192-4213
Phone (804) 807-9104

Other identifiers 2

IdentifierTypeStateIssuer
1972238673MedicaidVA
1972238673OtherVACOMMONWEALTH OF VIRGINIA DEPARTMENT OF MEDICAL ASSISTANCE SERVICES,PROVIDER ENRO

Other names 1

  • M.A.K Superior Home Health LLC. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231102002759 VA Part A Provider - Home Health Agency 1052767647 Practice locations: Woodbridge, VA

Home health agency certification: CCN 497811

Legal name
MAK SUPERIOR HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 23, 2024
Last certification
May 31, 2024
Organization structure
LLCProprietary
Incorporated
Jul 18, 2022 in VA
Enrollment address
13601 Office PL
Ste 102a
Woodbridge, VA 22192-4213

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mak Superior Home Health LLCCCN 497811
Ownership
-
Certified
Jun 23, 2024
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2301753M a K Superior Home Health LLC13601 Office Place, Unit 102a, Woodbridge, VA 22192Certificate of waiverMar 31, 2028

National Provider Directory

National Provider Directory

Locations

13601 Office Pl
Ste 102A
Woodbridge, VA 22192
Phone (571) 354-5365

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kadiatu Sesay Individual 5% Or Greater Direct Ownership InterestVice President Jul 18, 2022 50%
Corporate DirectorVice President Jul 18, 2022 50%
W-2 Managing EmployeeVP/Alternate Administrator/Don Jul 18, 2022 50%
Marie Henry Individual Corporate DirectorSecretary Jul 18, 2022
Med Taqi Individual 5% Or Greater Direct Ownership InterestPresident/Treasurer Jul 18, 2022 50%
Corporate DirectorPresident/Treasurer Jul 18, 2022 50%
W-2 Managing EmployeePresident/Treasurer Jul 18, 2022 50%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1972238673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13601 OFFICE PL STE 102A",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924213",
            "telephone_number": "804-807-9104",
            "fax_number": "571-520-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 OFFICE PL STE 102A",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924213",
            "telephone_number": "804-807-9104",
            "fax_number": "571-520-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.A.K. SUPERIOR HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "TAQI",
        "authorized_official_first_name": "MED",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "CO-CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "571-354-5365"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972238673",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF VIRGINIA DEPARTMENT OF MEDICAL ASSISTANCE SERVICES,PROVIDER ENRO",
            "identifier": "1972238673",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M.A.K Superior Home Health LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.