Provider Demographics
NPI:1942617162
Name:MMI HOLDINGS LLC
Entity Type:Organization
Organization Name:MMI HOLDINGS LLC
Other - Org Name:MEDICAL MODALITIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-932-8885
Mailing Address - Street 1:PO BOX 5330
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-1506
Mailing Address - Country:US
Mailing Address - Phone:704-932-8885
Mailing Address - Fax:877-286-1425
Practice Address - Street 1:3592 LORNA RIDGE DR
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35216-5247
Practice Address - Country:US
Practice Address - Phone:704-932-8885
Practice Address - Fax:877-286-1425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC01103332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies