MEDICARE: MUKISS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332U00000X	Home Delivered Meals
2	343900000X	Non-emergency Medical Transport (VAN)
3	171W00000X	Contractor
4	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1730908740
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUKISS LLC

Provider Business Mailing Address
First Line	:	1747 OLENTANGY RIVER RD # 1095
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43212-1453
Country	:	US
Telephone Number	:	614-749-1126
Fax Number	:

Provider Business Practice Location Address
First Line	:	1747 OLENTANGY RIVER RD # 1095
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43212-1453
Country	:	US
Telephone Number	:	614-749-1126
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MISS ROSE NGUM
Credential	:	MIS
Telephone Number	:	614-749-1126

Provider Enumeration Date	:	10/07/2024
Last Update Date	:	03/05/2026

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Directions to “MUKISS LLC ” Practice Location

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