Organization Active NPI

Modern Medical Concepts Homecare, Inc

Doing business as MMC Homecare

  • Home Infusion Agency
  • Rainbow City, AL
National Provider Identifier
1760659742
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
License
110743 Issued in AL
Legal business name
MODERN MEDICAL CONCEPTS HOMECARE, INC
Doing business as
MMC Homecare
Practice address
110 MMC Pkwy
Rainbow City, AL 35906-5852
Phone
(256) 442-5225
NPI assigned
May 9, 2008
Last updated
May 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Joseph E Kleinklaus, RPH
Title
Pharmacist
Phone
(256) 442-5225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X 110743 AL Primary

Addresses

Primary practice location

110 MMC Pkwy
Rainbow City, AL 35906-5852

Mailing address

110 MMC Pkwy
Rainbow City, AL 35906-5852
Phone (256) 442-5225

Other identifiers 2

IdentifierTypeStateIssuer
51044134OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
100002839MedicaidAL

Other names 1

  • MMC HOMECARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Modern Medical Concepts Homecare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1760659742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MMC PKWY",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359065852",
            "telephone_number": "256-442-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MMC PKWY",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359065852",
            "telephone_number": "256-442-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MEDICAL CONCEPTS HOMECARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "KLEINKLAUS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "256-442-5225",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "AL",
            "license": "110743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "51044134",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002839",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMC HOMECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rainbow City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.