Organization Active NPI

MMH Home Care Staffing Corp

  • Home Health Agency
  • Ronkonkoma, NY
National Provider Identifier
1497275283
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MMH HOME CARE STAFFING CORP
Practice address
200 13TH Ave Unit 16A2
Ronkonkoma, NY 11779-6839
Phone
(646) 245-1802
Fax
(631) 360-3469
NPI assigned
Jun 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Marjorie Maria HardwareNPI 1750696746
Title
Ceo
Phone
(646) 245-1802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NY Primary

Addresses

Primary practice location

200 13TH Ave Unit 16A2
Ronkonkoma, NY 11779-6839

Mailing address

200 13TH Ave Unit 16A2
Ronkonkoma, NY 11779-6839
Phone (646) 245-1802

Other identifiers 1

IdentifierTypeStateIssuer
01750696746OtherNYNON-MEDICARE

National Provider Directory

National Provider Directory

Locations

200 13th Ave
Unit 16A2
Ronkonkoma, NY 11779
Phone (646) 245-1802

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1497275283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 13TH AVE UNIT 16A2",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796839",
            "telephone_number": "646-245-1802",
            "fax_number": "631-360-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 13TH AVE UNIT 16A2",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796839",
            "telephone_number": "646-245-1802",
            "fax_number": "631-360-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMH HOME CARE STAFFING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HARDWARE",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-245-1802"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-MEDICARE",
            "identifier": "01750696746",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.