MK Senior Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MK SENIOR CARE LLC

Practice address

30168 N Desert Willow Blvd
San Tan Valley, AZ 85143-4300

Phone

(623) 688-0170

NPI assigned

May 8, 2023

Organization subpart

No

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

Authorized official

Name

Okeva S Reed

Title

Ceo

Phone

(623) 688-0170

Specialties & licenses 1

Addresses

Other names 1

• MK Senior Care LLC Former legal business name

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1992495568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30168 N DESERT WILLOW BLVD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851434300",
            "telephone_number": "623-688-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30168 N DESERT WILLOW BLVD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851434300",
            "telephone_number": "623-688-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "OKEVA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-688-0170"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MK Senior Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.