# M.A.K. SUPERIOR HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** M.A.K Superior Home Health LLC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972238673
- **Authorized official:** MED FRANCES TAQI (CO-CEO/ADMINISTRATOR)
- **Authorized official phone:** (571) 354-5365

## Contact information

- **Practice address:** 13601 OFFICE PL STE 102A, WOODBRIDGE, VA 22192-4213
- **Practice address phone:** (804) 807-9104
- **Practice address fax:** (571) 520-0356
- **Mailing address:** 13601 OFFICE PL STE 102A, WOODBRIDGE, VA 22192-4213
- **Mailing address phone:** (804) 807-9104
- **Mailing address fax:** (571) 520-0356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 07/18/2022
- **Last updated:** 06/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1972238673 | COMMONWEALTH OF VIRGINIA DEPARTMENT OF MEDICAL ASSISTANCE SERVICES,PROVIDER ENRO | VA |
| 05 | — | 1972238673 | — | VA |