MDM Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

10-009481-1 Issued in IN

Legal business name

MDM HOME HEALTH CARE, INC.

Doing business as

Family Home Health Services

Practice address

9150 E 109TH Ave
Suite 3a
Crown Point, IN 46307-7687

Phone

(219) 310-8537

Fax

(219) 779-9494

NPI assigned

Aug 23, 2005

Last updated

Jan 30, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin R Ruark

Title

Ceo

Phone

(734) 414-9990

Specialties & licenses 1

Addresses

Other names 1

• Family Home Health Services Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1043203383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W ANN ARBOR TRL",
            "address_2": "SUITE 201",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701694",
            "telephone_number": "734-414-9990",
            "fax_number": "734-414-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 E 109TH AVE",
            "address_2": "SUITE 3A",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077687",
            "telephone_number": "219-310-8537",
            "fax_number": "219-779-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDM HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "RUARK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-414-9990"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "10-009481-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda R McGoldrick, MS ED.
• Ellen M McKay, R.D.
• Jeannine M McMahon, DO
• Mark R McMurtrey, MD
• Brandi McQueen
• Mary E Means, CRNA
• Brandy Medendorp
• Rachel Medina, DPT
• Brittany Medley, NP
• Susan Mehok, PTA

• Home Health Agency in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.