MTG Capital of Wisconsin LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MTG CAPITAL OF WISCONSIN LLC

Doing business as

FirstLight Home Care of Northern Indianapolis and Suburbs

Practice address

13277 Illinois St Ste 100
Carmel, IN 46032-8601

Phone

(317) 601-8395

Fax

(317) 203-0707

NPI assigned

Jun 5, 2020

Organization subpart

No

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

Authorized official

Name

Doug Geske

Title

VP of Client Services

Phone

(317) 601-8395

Specialties & licenses 1

Addresses

Other names 1

• FirstLight Home Care of Northern Indianapolis and Suburbs Doing business as

Locations

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1346864394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13277 ILLINOIS ST STE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328601",
            "telephone_number": "317-601-8395",
            "fax_number": "317-203-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13277 ILLINOIS ST STE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328601",
            "telephone_number": "317-601-8395",
            "fax_number": "317-203-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTG CAPITAL OF WISCONSIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "GESKE",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "VP OF CLIENT SERVICES",
        "authorized_official_telephone_number": "317-601-8395"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstLight Home Care of Northern Indianapolis and Suburbs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Erin Mrakovich, LCSW
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• Anne Michelle Mueller, O.D.
• Stephanie Muir, DC
• Stuart Mullen
• John Muller
• Audrey Munford

• Home Health Agency in Carmel, IN
• Providers in Carmel, 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 Jun 5, 2020; 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.