Provider Demographics
NPI:1801218656
Name:MCMP, INC.
Entity Type:Organization
Organization Name:MCMP, INC.
Other - Org Name:COMFORT KEEPERS 973
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCMAHON
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:805-528-8862
Mailing Address - Street 1:615 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MORRO BAY
Mailing Address - State:CA
Mailing Address - Zip Code:93442-2221
Mailing Address - Country:US
Mailing Address - Phone:805-528-8862
Mailing Address - Fax:805-528-1183
Practice Address - Street 1:615 MAIN ST
Practice Address - Street 2:
Practice Address - City:MORRO BAY
Practice Address - State:CA
Practice Address - Zip Code:93442-2221
Practice Address - Country:US
Practice Address - Phone:805-528-8862
Practice Address - Fax:805-528-1183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-14
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0670851253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care