Provider Demographics
NPI:1801570833
Name:MCO HOMECARE SERVICES LLC
Entity type:Organization
Organization Name:MCO HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BREANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-958-3230
Mailing Address - Street 1:3255 LAWRENCEVILLE SUWANEE RD STE P521
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6540
Mailing Address - Country:US
Mailing Address - Phone:877-958-3230
Mailing Address - Fax:470-890-1478
Practice Address - Street 1:3255 LAWRENCEVILLE SUWANEE RD STE P521
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6540
Practice Address - Country:US
Practice Address - Phone:877-958-3230
Practice Address - Fax:470-890-1478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty