OrganizationActive
Mikkelsen, LLC
NPI 1124328877 · In Home Supportive Care Agency · Fort Worth, TX
Provider details
- NPI number
- 1124328877
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lincoln Mikkelsen, Manager(616) 723-5020
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4200 South Fwy
Suite 615
Fort Worth, TX 76115-1400
Phone: (817) 210-4778
Street-level locationGet directions
Mailing address
4200 South Fwy
Fort Worth, TX 76115-1400
Registry dates
- Enumerated
- 2010-10-28
- Last updated
- 2010-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.