Provider Demographics
NPI:1003148313
Name:MM HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:MM HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MINI
Authorized Official - Middle Name:T
Authorized Official - Last Name:EASO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:972-285-1469
Mailing Address - Street 1:507 ROBIN RDG
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-3212
Mailing Address - Country:US
Mailing Address - Phone:972-285-1469
Mailing Address - Fax:972-285-1369
Practice Address - Street 1:507 ROBIN RDG
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-3212
Practice Address - Country:US
Practice Address - Phone:972-285-1469
Practice Address - Fax:972-285-1369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-11
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX650287251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care