MD Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MD CARE LLC

Practice address

5 Donnington St
Pueblo, CO 81005-5529

Phone

(720) 324-1989

NPI assigned

Jun 17, 2024

Organization subpart

No

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

Authorized official

Name

Mosaab Dawla

Title

Administrator

Phone

(720) 324-1989

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1972346005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 S PARKER RD STE 105",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DONNINGTON ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810055529",
            "telephone_number": "720-324-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "DAWLA",
        "authorized_official_first_name": "MOSAAB",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "720-324-1989"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph A. McMillan, PTA
• Thomas Patrick McNally
• Samantha Kaisha McNeely, MSOT
• Leslie Marie McNish-Fisher, MA, CCC-SLP
• Jeanette Sue McWilliams, LMT
• William Mead
• Shannon J Measel, CLMT, NMT
• Med Lift LLC
• Med Tel International Corporation
• Rebecca Lynne Medin, PT

• Adult Care Home Facility in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Adult Care Home Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.