Provider Demographics
NPI:1346332863
Name:MP TOTALCARE SERVICES, INC.
Entity Type:Organization
Organization Name:MP TOTALCARE SERVICES, INC.
Other - Org Name:CCS MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFMEISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-628-2100
Mailing Address - Street 1:3030 LBJ FWY STE 1525
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7758
Mailing Address - Country:US
Mailing Address - Phone:972-628-2100
Mailing Address - Fax:
Practice Address - Street 1:3030 LBJ FWY STE 1530
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7781
Practice Address - Country:US
Practice Address - Phone:972-773-4553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MP TOTALCARE SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-29
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9045014Medicaid
TX010230303Medicaid
IA0170233Medicaid
MD451300200Medicaid
OR500616295Medicaid
OH0270871Medicaid
WI100026234Medicaid
CA1346332863Medicaid
NH3078903Medicaid
KS100357680EMedicaid
MT1346332863Medicaid
MS00440322Medicaid
OK100815990AMedicaid
TN1452209Medicaid
PA0016209500005Medicaid
NY03225303Medicaid
AR201224716Medicaid
IN300000524Medicaid
MI3330028Medicaid
KY90032251Medicaid
TX010230301Medicaid
IL1346332863Medicaid
UT1346332863Medicaid
AZ339467Medicaid
OH0270871Medicaid
MD451300200Medicaid
KY90032251Medicaid
PA0016209500003Medicaid