Provider Demographics
NPI:1043101058
Name:MAYTHIS CARE NURSING
Entity type:Organization
Organization Name:MAYTHIS CARE NURSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CMA
Authorized Official - Prefix:
Authorized Official - First Name:NIKOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-212-9939
Mailing Address - Street 1:3001 S HARDIN BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-7702
Mailing Address - Country:US
Mailing Address - Phone:214-945-0941
Mailing Address - Fax:
Practice Address - Street 1:1330 CRESCENT VIEW DR
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:TX
Practice Address - Zip Code:75409-0295
Practice Address - Country:US
Practice Address - Phone:214-945-0941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health