Provider Demographics
NPI:1811879000
Name:MM FAMILY SUPPORT SERVICES, INC
Entity type:Organization
Organization Name:MM FAMILY SUPPORT SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-408-7848
Mailing Address - Street 1:5935 E 27TH ST BLDG 2
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46218-3311
Mailing Address - Country:US
Mailing Address - Phone:317-408-7848
Mailing Address - Fax:317-545-6170
Practice Address - Street 1:5935 E 27TH ST BLDG 2
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46218-3311
Practice Address - Country:US
Practice Address - Phone:317-408-7848
Practice Address - Fax:317-545-6170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty