Provider Demographics
NPI:1427002625
Name:RCS MANAGEMENT CORP
Entity Type:Organization
Organization Name:RCS MANAGEMENT CORP
Other - Org Name:NORTHLAND AAC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:AO
Authorized Official - Phone:727-530-7700
Mailing Address - Street 1:PO BOX 746058
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6058
Mailing Address - Country:US
Mailing Address - Phone:727-259-2255
Mailing Address - Fax:
Practice Address - Street 1:12213 W BELL RD STE 115
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85378-9519
Practice Address - Country:US
Practice Address - Phone:623-259-3558
Practice Address - Fax:928-556-0709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZC00092332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ828072Medicaid
AZ828072Medicaid
AZ5041600001Medicare NSC