Provider Demographics
NPI:1275170425
Name:MCCARTY HOME HEALTH AND HOSPICE LLC
Entity Type:Organization
Organization Name:MCCARTY HOME HEALTH AND HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATION
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:TOLLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:740-583-0740
Mailing Address - Street 1:6733 LAGRANGE DR
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-8384
Mailing Address - Country:US
Mailing Address - Phone:740-583-0740
Mailing Address - Fax:
Practice Address - Street 1:6733 LAGRANGE DR
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-8384
Practice Address - Country:US
Practice Address - Phone:740-583-0740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-06
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based