NPIMap

Organization Active NPI

MM Adult Care, Inc.

  • Home Health Agency
  • Abbeville, GA
National Provider Identifier
1932327657
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
156-R-0001 Issued in GA
Legal business name
MM ADULT CARE, INC.
Practice address
23 Hidden Lakes Rd
Abbeville, GA 31001-2837
Phone
(229) 467-9362
Fax
(229) 467-2185
NPI assigned
Apr 20, 2007
Last updated
Feb 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Mrs. Brenda Faye MadisonNPI 1124165600
Title
President
Phone
(229) 467-9362

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 156-R-0001 GA Primary

Addresses

Primary practice location

23 Hidden Lakes Rd
Abbeville, GA 31001-2837

Mailing address

23 Hidden Lakes Rd
Abbeville, GA 31001-2837
Phone (229) 467-9362

Other identifiers 3

IdentifierTypeStateIssuer
635993234CMedicaidGA
635993234BMedicaidGA
635993234AMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1932327657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HIDDEN LAKES RD",
            "city": "ABBEVILLE",
            "state": "GA",
            "postal_code": "310012837",
            "telephone_number": "229-467-9362",
            "fax_number": "229-467-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 HIDDEN LAKES RD",
            "city": "ABBEVILLE",
            "state": "GA",
            "postal_code": "310012837",
            "telephone_number": "229-467-9362",
            "fax_number": "229-467-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MM ADULT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-467-9362",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "156-R-0001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "635993234C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "635993234B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "635993234A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.