MBM Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MBM HOME CARE, LLC

Practice address

1720 Mount Vernon Rd Ste a
Atlanta, GA 30338-4269

Phone

(770) 392-8952

NPI assigned

Jun 30, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Matt McClure

Title

Member

Phone

(501) 516-1138

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Home Instead Doing business as

Locations

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1447820550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MOUNT VERNON RD STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303384269",
            "telephone_number": "770-392-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 MOUNT VERNON RD STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303384269",
            "telephone_number": "770-392-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBM HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "501-516-1138",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044-R-0095",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nkechi Mbaezue
• O'Brian Obinnaya Mbakwe, MD
• Rose-Mary Mbibong-Mabo, DPM
• Uzoamaka Catherine Mbionwu
• Chinwe Esther Mbisike Chijindu, MD
• Chisom Justin Mbonu, MD
• Collins Mbonu
• Prisca Mbonu
• MBR Counseling Services
• Gregory L MC Collough, LCSW

• In Home Supportive Care Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.