Active NPI
M.a.K. Superior Home Health LLC
- Home Health Agency
- Woodbridge, VA
National Provider Identifier
1972238673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| Personal Care Attendant | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972238673 | Medicaid | VA | |
| 1972238673 | Other | VA | COMMONWEALTH OF VIRGINIA DEPARTMENT OF MEDICAL ASSISTANCE SERVICES,PROVIDER ENRO |
Other names 1
- M.A.K Superior Home Health LLC.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- -
- Certified
- Jun 23, 2024
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2301753 | M a K Superior Home Health LLC | Certificate of waiver | Mar 31, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kadiatu Sesay | 5% Or Greater Direct Ownership Interest | Jul 18, 2022 | 50% |
| Corporate Director | Jul 18, 2022 | 50% | |
| W-2 Managing Employee | Jul 18, 2022 | 50% | |
| Marie Henry | Corporate Director | Jul 18, 2022 | |
| Med Taqi | 5% Or Greater Direct Ownership Interest | Jul 18, 2022 | 50% |
| Corporate Director | Jul 18, 2022 | 50% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.