Provider Demographics
NPI:1083751929
Name:MCVAYS HOME CARE RENTAL & SALE
Entity Type:Organization
Organization Name:MCVAYS HOME CARE RENTAL & SALE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:P
Authorized Official - Last Name:MCJAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-275-3964
Mailing Address - Street 1:PO BOX 911
Mailing Address - Street 2:
Mailing Address - City:GROVE HILL
Mailing Address - State:AL
Mailing Address - Zip Code:36451
Mailing Address - Country:US
Mailing Address - Phone:251-275-3964
Mailing Address - Fax:251-275-4310
Practice Address - Street 1:179 HWY 43
Practice Address - Street 2:
Practice Address - City:GROVE HILL
Practice Address - State:AL
Practice Address - Zip Code:36451
Practice Address - Country:US
Practice Address - Phone:251-275-3964
Practice Address - Fax:251-275-4310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000056459Medicaid
AL0175660001Medicare ID - Type Unspecified