MLCKM, LLC
NPI 1881259547
Assisted Living Facility in Port Orange, FL

Active since May 07, 2019
158 FARMBROOK RD, PORT ORANGE, FL 32127(386) 767-1613 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mlckm, Llc NPPES

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

MLCKM, LLC (NPI 1881259547), doing business as Harbor Oaks Golden Years, is a healthcare organization registered as an assisted living facility in Port Orange, Florida and active in the NPI registry since May 2019. The organization lists Malgorzata Ptak, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1881259547
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMLCKM, LLC
Location Address158 FARMBROOK RDPort Orange, FL 32127-6243
Mailing Address158 Farmbrook RdPort Orange, FL 32127-6243 · (386) 767-1613
Organization SubpartNo
Authorized OfficialMalgorzata PtakOwner/administrator · (386) 767-1613
Enumeration DateMay 7, 2019
NPI 1881259547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

158 FARMBROOK RD, Port Orange, FL 32127

Other Names 1

Doing Business AsHarbor Oaks Golden Years

Other Providers at the Same Location NPPES 3

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

Assisted Living Facility
158 FARMBROOK RD
PORT ORANGE, FL 32127
Assisted Living Facility
158 FARMBROOK RD
PORT ORANGE, FL 32127
Assisted Living Facility
158 FARMBROOK RD
PORT ORANGE, FL 32127

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 Mlckm, LLC's NPI number?

The NPI number for Mlckm, LLC is 1881259547. It was assigned to this organization in the NPPES registry on May 7, 2019.

Where is Mlckm, LLC located?

Mlckm, LLC is located at 158 Farmbrook Rd, Port Orange, FL 32127. The listed phone number is (386) 767-1613.

What is Mlckm, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Mlckm, LLC was last updated on May 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.