Healthcare Provider Details

I. General information

NPI: 1316559545
Provider Name (Legal Business Name): MRC HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2020
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 VETERANS SQ
MEDIA PA
19063-3155
US

IV. Provider business mailing address

24 VETERANS SQ
MEDIA PA
19063-3155
US

V. Phone/Fax

Practice location:
  • Phone: 610-215-7228
  • Fax:
Mailing address:
  • Phone: 267-394-1621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: OMAR LUTAS
Title or Position: OWNER
Credential:
Phone: 267-394-1621