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MACKENZIE D FLAHAUT
NPI 1053071902
Technician - Attendant Care Provider in Belle Rive, IL

Active since December 20, 2021
405 S MAIN ST, BELLE RIVE, IL 62810(618) 316-1626 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mackenzie D Flahaut NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKENZIE D FLAHAUT (NPI 1053071902) is an individual attendant care provider provider in Belle Rive, Illinois and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1053071902
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NameMACKENZIE D FLAHAUT
Location Address405 S MAIN STBelle Rive, IL 62810-1228
Mailing Address16680 N Millikin LnMount Vernon, IL 62864-7925 · (689) 239-1432
Phone(618) 316-1626
Sole ProprietorYes
Enumeration DateDecember 20, 2021
NPPES CertifiedDecember 20, 2021
✔ NPI 1053071902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
405 S MAIN ST, Belle Rive, IL 62810
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN ELAINE ATKINSON
Technician (Attendant Care Provider)
405 S MAIN ST
BELLE RIVE, IL 62810
Jefferson County (618) 316-1626
KAYLA UPTON
Technician (Attendant Care Provider)
405 S MAIN ST
BELLE RIVE, IL 62810
Jefferson County (618) 316-1626
MICHAEL DOOGAN
Technician (Attendant Care Provider)
405 S MAIN ST
BELLE RIVE, IL 62810
Jefferson County (618) 316-1626
MS. JUANITA GAIL BOUGHERS
Technician (Attendant Care Provider)
405 S MAIN ST
BELLE RIVE, IL 62810
Jefferson County (618) 316-1626
JAIME MARIE SIMPSON
Technician (Attendant Care Provider)
405 S MAIN ST
BELLE RIVE, IL 62810
Jefferson County (618) 316-1626
KATHY HAMPTON
Technician (Attendant Care Provider)
405 S MAIN ST
BELLE RIVE, IL 62810
Jefferson County (618) 472-4617
STACEY LYNN CHAFFIN
Technician (Attendant Care Provider)
405 S MAIN ST
BELLE RIVE, IL 62810
Jefferson County (618) 316-1626
JEVON LEANNE SORK
Technician (Attendant Care Provider)
405 S MAIN ST
BELLE RIVE, IL 62810
Jefferson County (618) 316-1626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mackenzie Flahaut's NPI number?

The NPI number for Mackenzie Flahaut is 1053071902. It was assigned to this individual provider in the NPPES registry on December 20, 2021.

Where is Mackenzie Flahaut located?

Mackenzie Flahaut practices at 405 S Main St, Belle Rive, IL 62810. The listed phone number is (618) 316-1626.

What is Mackenzie Flahaut's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Mackenzie Flahaut was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.