MEDICARE: MM CARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1245002716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MM CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	3350 CLEVELAND AVE # 1936
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-3675
Country	:	US
Telephone Number	:	614-592-8547
Fax Number	:

Provider Business Practice Location Address
First Line	:	3350 CLEVELAND AVE # 1936
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-3675
Country	:	US
Telephone Number	:	614-592-8547
Fax Number	:

Authorized Official
Title or Position	:	ADMIN
Name	:	ABDISAMED MOHAMED
Credential	:
Telephone Number	:	614-592-8547

Provider Enumeration Date	:	10/26/2023
Last Update Date	:	10/26/2023

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Directions to “MM CARE SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

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