Provider Demographics
NPI:1073397519
Name:MC HOMECARE LLC
Entity Type:Organization
Organization Name:MC HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MURWANEZA
Authorized Official - Middle Name:
Authorized Official - Last Name:NKURUNZIZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-936-0070
Mailing Address - Street 1:2420 SUMMERGREEN DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-7214
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2420 SUMMERGREEN DR
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7214
Practice Address - Country:US
Practice Address - Phone:215-936-0070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health