Organization
M.A.K. SUPERIOR HOME HEALTH LLC
Active
Other names
M.A.K Superior Home Health LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
MED FRANCES TAQI (CO-CEO/ADMINISTRATOR)
(571) 354-5365
Entity
Organization
Contact information
Practice address
13601 OFFICE PL STE 102A, WOODBRIDGE, VA 22192-4213
(804) 807-9104
(571) 520-0356
Mailing address
13601 OFFICE PL STE 102A, WOODBRIDGE, VA 22192-4213
(804) 807-9104
(571) 520-0356
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972238673
COMMONWEALTH OF VIRGINIA DEPARTMENT OF MEDICAL ASSISTANCE SERVICES,PROVIDER ENRO
VA
05
—
1972238673
—
VA
Enumeration date
07/18/2022
Last updated
06/24/2025
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