MEDICARE: MXM HOMECARE

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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1346111242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MXM HOMECARE

Provider Business Mailing Address
First Line	:	42259 LOCKLIN DR
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-2823
Country	:	US
Telephone Number	:	586-201-1319
Fax Number	:

Provider Business Practice Location Address
First Line	:	42259 LOCKLIN DR
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-2823
Country	:	US
Telephone Number	:	586-201-1319
Fax Number	:

Authorized Official
Title or Position	:	HOME CARE
Name	:	FADHILA MANSOR
Credential	:
Telephone Number	:	586-201-1319

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	09/15/2025

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Directions to “MXM HOMECARE ” Practice Location

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