Provider Demographics
NPI:1073545562
Name:MAYS HOSPICE CARE, INC
Entity Type:Organization
Organization Name:MAYS HOSPICE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-784-4211
Mailing Address - Street 1:3057 CLARKSVILLE ST.
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-7915
Mailing Address - Country:US
Mailing Address - Phone:903-784-4211
Mailing Address - Fax:903-739-2427
Practice Address - Street 1:202 NW 'J' ST.
Practice Address - Street 2:
Practice Address - City:ANTLERS
Practice Address - State:OK
Practice Address - Zip Code:74523-2086
Practice Address - Country:US
Practice Address - Phone:580-298-1154
Practice Address - Fax:580-298-2027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4204251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200059290AMedicaid
OK200059290AMedicaid