NPI Code Detail JSON Logo

1841382363 NPI number — MP TOTALCARE MEDICAL, INC.

NPI Number: 1841382363
Health Care Provider/Practitioner: MP TOTALCARE MEDICAL, INC.

Information about “1841382363” NPI (MP TOTALCARE MEDICAL, INC.) exists in 1841382363 in HTML format HTML  |  1841382363 in plain Text format TXT  |  1841382363 in PDF (Portable Document Format) PDF  |  1841382363 in an XML format XML  formats.

NPI Number : 1841382363 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841382363",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "CCS MEDICAL HOLDINGS, INC.",
    "ParentOrgTIN": null,
    "OrgName": "MP TOTALCARE MEDICAL, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1505 LBJ FREEWAY",
    "SecondLineMailingAddress": "SUITE 600",
    "MailingAddressCityName": "FARMERS BRANCH",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75234-6074",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-628-2100",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3505 KOGER BLVD.",
    "SecondLinePracticeLocationAddress": "SUITE 220",
    "PracticeLocationAddressCityName": "DULUTH",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30096-7671",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-407-4430",
    "PracticeLocationAddressFaxNumber": "866-387-8451",
    "EnumerationDate": "09/29/2006",
    "LastUpdateDate": "08/04/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RAINES",
    "AuthorizedOfficialFirstName": "MONICA",
    "AuthorizedOfficialMiddleName": "S",
    "AuthorizedOfficialTitle": "DIRECTOR/SECRETARY",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "972-628-2100",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332B00000X",
        "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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