Organization Active NPI

MMC Home Care, LLC

Doing business as Home Instead Senior Care

  • In Home Supportive Care Agency
  • Lawrenceville, GA
National Provider Identifier
1831739069
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MMC HOME CARE, LLC
Doing business as
Home Instead Senior Care
Practice address
368 W Pike St Ste 205
Lawrenceville, GA 30046-3240
Phone
(770) 972-2273
NPI assigned
Jan 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Matt Cohn
Title
Owner
Phone
(770) 972-2273

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

368 W Pike St Ste 205
Lawrenceville, GA 30046-3240

Mailing address

368 W Pike St Ste 205
Lawrenceville, GA 30046-3240
Phone (770) 972-2273

Other names 1

  • Home Instead Senior Care Doing business as

National Provider Directory

National Provider Directory

Locations

368 W Pike St
Ste 205
Lawrenceville, GA 30046
Phone (770) 972-2273

2795 W Main St
Ste 24A
Snellville, GA 30078
Phone (770) 972-2273

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1831739069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 W PIKE ST STE 205",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463240",
            "telephone_number": "770-972-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 W PIKE ST STE 205",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463240",
            "telephone_number": "770-972-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMC HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "COHN",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-972-2273"
    },
    "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
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.