Provider Demographics
NPI:1902597503
Name:MMK CARE SERVICES
Entity Type:Organization
Organization Name:MMK CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIMINA
Authorized Official - Middle Name:NJAU
Authorized Official - Last Name:TUBEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-265-2729
Mailing Address - Street 1:13503 BLACKFISH PKWY
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66216-5533
Mailing Address - Country:US
Mailing Address - Phone:913-265-2729
Mailing Address - Fax:913-426-9122
Practice Address - Street 1:13503 BLACKFISH PKWY
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66216-5533
Practice Address - Country:US
Practice Address - Phone:913-265-2729
Practice Address - Fax:913-426-9122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home