Provider Demographics
NPI:1639816291
Name:M&M HEALTH HOLDINGS
Entity Type:Organization
Organization Name:M&M HEALTH HOLDINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOMKO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:862-686-2088
Mailing Address - Street 1:2655 E OAKLAND PARK BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1608
Mailing Address - Country:US
Mailing Address - Phone:862-686-2088
Mailing Address - Fax:
Practice Address - Street 1:1200 S PINELLAS AVE STE 10
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-3716
Practice Address - Country:US
Practice Address - Phone:862-686-2088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299995475OtherHOME HEALTH AGENCY LICENSE NO