Healthcare Provider Details

I. General information

NPI: 1942266499
Provider Name (Legal Business Name): MODERN MEDICAL CONCEPTS HOMECARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 MMC PKWY
RAINBOW CITY AL
35906-5852
US

IV. Provider business mailing address

110 MMC PKWY
RAINBOW CITY AL
35906-5852
US

V. Phone/Fax

Practice location:
  • Phone: 256-442-5225
  • Fax: 256-442-5228
Mailing address:
  • Phone: 256-442-5225
  • Fax: 256-442-5228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MARTI ARMSTRONG
Title or Position: BILLING MGR
Credential:
Phone: 256-442-5225