MGM Home Healthcare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MGM HOME HEALTHCARE LLC

Doing business as

ComForcare Senior Services - Central Contra Costa

Practice address

1630 Contra Costa Blvd
Suite 215
Pleasant Hill, CA 94523-3085

Phone

(925) 429-8320

NPI assigned

Jun 27, 2013

Last updated

Jun 27, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael MendarosNPI 1700334885

Title

President/Owner

Phone

(925) 429-8320

Specialties & licenses 1

Addresses

Other names 1

• ComForcare Senior Services - Central Contra Costa Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Mendaros

  • Home Health Aide
  • Pleasant Hill, CA
  • NPI 1700334885
  NPD (past) Authorized official

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1912347584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 CONTRA COSTA BLVD",
            "address_2": "SUITE 215",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233085",
            "telephone_number": "925-429-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 CONTRA COSTA BLVD",
            "address_2": "SUITE 215",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233085",
            "telephone_number": "925-429-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGM HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "MENDAROS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "925-429-8320"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForcare Senior Services - Central Contra Costa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyisha Merritt
• Nicole Michael Mesita, RD
• Melissa Emily Metcalf
• Diana Cheryl Methfessel, MA MFT
• Tara Meunier
• Michael E. Huguet DDS and Associates
• Miguel a Castro DDS, Inc
• Beth Dena Mikesell, MS
• Edward Miller
• Erin Miller

• In Home Supportive Care Agency in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.