Healthcare Provider Details

I. General information

NPI: 1346110913
Provider Name (Legal Business Name): M&M HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 11/10/2025
Certification Date: 11/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 DANSHIRE CT
BOWIE MD
20721-3040
US

IV. Provider business mailing address

1900 DANSHIRE CT
BOWIE MD
20721-3040
US

V. Phone/Fax

Practice location:
  • Phone: 301-974-1094
  • Fax: 301-249-3463
Mailing address:
  • Phone: 301-974-1094
  • Fax: 301-249-3463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: YAYA ADEGBOYEGA
Title or Position: CHAIRMAN
Credential:
Phone: 301-974-1094