MDM Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MDM HOMECARE LLC

Practice address

13395 Voyager Pkwy Ste 120
Colorado Springs, CO 80921-7678

Phone

(719) 822-1229

Fax

(719) 822-1787

NPI assigned

Dec 7, 2021

Organization subpart

No

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

Authorized official

Name

Dorothy Silvanic

Title

Owner

Phone

(719) 822-1229

Specialties & licenses 1

Addresses

Other names 1

• Home Care Assistance of El Paso County Doing business as

Locations

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1760140628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13395 VOYAGER PKWY STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217678",
            "telephone_number": "719-822-1229",
            "fax_number": "719-822-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13395 VOYAGER PKWY STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217678",
            "telephone_number": "719-822-1229",
            "fax_number": "719-822-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDM HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "SILVANIC",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-822-1229"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Care Assistance of El Paso County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandy McVicker
• John H. McVicker, M.D.
• Christopher McWhorter
• Kellie McWhorter
• Debra McWilliams, RMT,CNMT
• Me Physical Therapy
• Ava Nichole Mead
• Jan M Mead, PT
• Malia Mead, MA, LMFT
• Robby Mead

• In Home Supportive Care Agency in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• In Home Supportive Care Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.