Provider Demographics
NPI:1689638488
Name:MPS HEALTHCARE INC
Entity Type:Organization
Organization Name:MPS HEALTHCARE INC
Other - Org Name:CONTINUUM PEDIATRIC NURSING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-506-0123
Mailing Address - Street 1:8230 LEESBURG PIKE STE 740
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2641
Mailing Address - Country:US
Mailing Address - Phone:703-506-0123
Mailing Address - Fax:703-734-1932
Practice Address - Street 1:8230 LEESBURG PIKE STE 740
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2641
Practice Address - Country:US
Practice Address - Phone:703-506-0123
Practice Address - Fax:703-734-1932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-17
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO103K00000X
MD13926251E00000X
251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1689638488Medicaid
MD403003600Medicaid
VA1689638488Medicaid
VA008750521Medicaid
MD403003600Medicaid
MD1689638488Medicaid