Provider Demographics
NPI:1851088249
Name:MKM HOME CARE, LLC
Entity Type:Organization
Organization Name:MKM HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-327-0462
Mailing Address - Street 1:801 COMPASS WAY STE 4
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7804
Mailing Address - Country:US
Mailing Address - Phone:410-846-0141
Mailing Address - Fax:
Practice Address - Street 1:801 COMPASS WAY STE 4
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7804
Practice Address - Country:US
Practice Address - Phone:410-846-0141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care