Mga Home Healthcare Tennessee, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MGA HOME HEALTHCARE TENNESSEE, LLC

Practice address

1661 International Dr Ste 400
Memphis, TN 38120-1431

Phone

(901) 221-2266

NPI assigned

May 27, 2022

Organization subpart

No

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

Authorized official

Name

Alexandra Lee Koloskus, JD

Title

Chief Compliance Officer

Phone

(720) 276-7706

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Home health agency certification: CCN 447825

Legal name

MGA HOME HEALTHCARE TENNESSEE, LLC

Doing business as

MGA HOMECARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 17, 2023

Last certification

Apr 5, 2023

Organization structure

LLCProprietary

Incorporated

Feb 4, 2022 in TN

Enrollment address

1669 Kirby Pkwy
Ste 100
Memphis, TN 38120-4397

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mga Home Healthcare Tennessee, LLC

  • Home Health Agency
  • Nashville, TN
  • NPI 1053187203

  O20230203001614

  Same enrollment

Listed as

Mga HomecareCCN 447825

Ownership

-

Certified

Apr 17, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Mga Home Healthcare Tennessee2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mga Home Healthcare Tennessee, LLC

  • Home Health Agency
  • Nashville, TN
  • NPI 1053187203
  NPD tax ID

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Yale University

  • Durable Medical Equipment & Medical Supplies
  • Wallingford, CT
  • NPI 1053079335

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Yale University

  • Health Service Clinic/Center
  • New Haven, CT
  • NPI 1093862740

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Yale University

  • Durable Medical Equipment & Medical Supplies
  • North Haven, CT
  • NPI 1104530666

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Yale University

  • Durable Medical Equipment & Medical Supplies
  • Milford, CT
  • NPI 1144985482

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Yale University

  • Anesthesiology Physician
  • New Haven, CT
  • NPI 1205822236

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Yale University

  • Clinical Medical Laboratory
  • New Haven, CT
  • NPI 1306875877

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Yale University

  • Durable Medical Equipment & Medical Supplies
  • Fairfield, CT
  • NPI 1548066962

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Yale University

  • Durable Medical Equipment & Medical Supplies
  • Milford, CT
  • NPI 1740099407

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Yale University

  • Durable Medical Equipment & Medical Supplies
  • Stamford, CT
  • NPI 1831854173

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Yale University

  • Durable Medical Equipment & Medical Supplies
  • New Haven, CT
  • NPI 1912040205

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Yale University

  • Clinical Medical Laboratory
  • New Haven, CT
  • NPI 1922042258

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Yale University

  • Durable Medical Equipment & Medical Supplies
  • Guilford, CT
  • NPI 1962167395

  5% Or Greater Indirect Ownership Interest

  CMS ownership

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Mga Healthcare Texas, LLC

  • Home Health Agency
  • Addison, TX
  • NPI 1073837514

  Flexpoint Fund IV-a, L.P., Harvard Management Private Equity Corporation, MHH F-III Blocker, Inc., MHH F-IV Blocker, Inc., MHH Holdings I, LLC, MHH Holdings II, LLC, MHH Holdings III, LLC, MHH Splitter, L.P., Mit Investments 2010, L.P., Odenslund

  CMS ownership
• Mga Healthcare Texas, LLC

  • Home Health Agency
  • Austin, TX
  • NPI 1548685910

  Flexpoint Fund IV-a, L.P., Harvard Management Private Equity Corporation, MHH F-III Blocker, Inc., MHH F-IV Blocker, Inc., MHH Holdings I, LLC, MHH Holdings II, LLC, MHH Holdings III, LLC, MHH Splitter, L.P., Mit Investments 2010, L.P., Odenslund

  CMS ownership
• Mga Home Healthcare Colorado, LLC

  • Home Health Agency
  • Glendale, CO
  • NPI 1285057927

  Flexpoint Fund III Aiv (B), L.P., Flexpoint Fund IV-a, L.P., Harvard Management Private Equity Corporation, MHH F-III Blocker, Inc., MHH F-IV Blocker, Inc., MHH Holdings I, LLC, MHH Holdings II, LLC, MHH Holdings III, LLC, MHH Splitter, L.P., Mit

  CMS ownership
• Mga Home Healthcare Colorado, LLC

  • Home Health Agency
  • Colorado Springs, CO
  • NPI 1801115944

  Flexpoint Fund III Aiv (B), L.P., Flexpoint Fund IV-a, L.P., Harvard Management Private Equity Corporation, MHH F-III Blocker, Inc., MHH F-IV Blocker, Inc., MHH Holdings I, LLC, MHH Holdings II, LLC, MHH Holdings III, LLC, MHH Splitter, L.P., Mit

  CMS ownership
• Mga Home Healthcare LLC

  • Home Health Agency
  • Scottsdale, AZ
  • NPI 1174546063

  Flexpoint Fund IV-a, L.P., Harvard Management Private Equity Corporation, MHH F-III Blocker, Inc., MHH F-IV Blocker, Inc., MHH Holdings I, LLC, MHH Holdings II, LLC, MHH Holdings III, LLC, MHH Splitter, L.P., Mit Investments 2010, L.P., Odenslund

  CMS ownership
• Mga Home Healthcare Pueblo, LLC

  • Home Health Agency
  • Pueblo, CO
  • NPI 1386139517

  Flexpoint Fund III Aiv (B), L.P., Flexpoint Fund IV-a, L.P., Harvard Management Private Equity Corporation, MHH F-III Blocker, Inc., MHH F-IV Blocker, Inc., MHH Holdings I, LLC, MHH Holdings II, LLC, MHH Holdings III, LLC, MHH Splitter, L.P., Mit

  CMS ownership

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1851039978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 N SCOTTSDALE RD STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852533675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 INTERNATIONAL DR STE 400",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381201431",
            "telephone_number": "901-221-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGA HOME HEALTHCARE TENNESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "KOLOSKUS",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "720-276-7706",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James H Meyer Jr., DDS
• Logan Meyer
• Norman L Meyer, MD
• Meguel Meyers, LAPSW
• William Meyers, PHARM D
• Zachary Mgbemere I, PHARMD
• MH Health Care Services, PC
• Micah Caring Hands LLC
• Michael D. Blen DDS PC
• Michael D. Weinberg, PC

• All providers in Memphis, TN
• Home Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.