MEDICARE: MMM HOME CARE INC

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	251E00000X	Home Health Agency	007099	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	007099	OTHER	TX	LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134122450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MMM HOME CARE INC

Provider Business Mailing Address
First Line	:	1160 AIRWAY BLVD
Second Line	:	STE B6
City	:	EL PASO
State	:	TX
Zip	:	79925-3600
Country	:	US
Telephone Number	:	915-757-1373
Fax Number	:	915-779-9814

Provider Business Practice Location Address
First Line	:	1160 AIRWAY BLVD
Second Line	:	STE B6
City	:	EL PASO
State	:	TX
Zip	:	79925-3600
Country	:	US
Telephone Number	:	915-757-1373
Fax Number	:	915-779-9814

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	MR. THOMAS E REYNOLDS
Credential	:
Telephone Number	:	915-757-1373

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	07/28/2008

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Directions to “MMM HOME CARE INC ” Practice Location

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