Organization Active NPI

MC Innovations LLC

  • Durable Medical Equipment & Medical Supplies
  • Richmond, VA
National Provider Identifier
1104707561
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MC INNOVATIONS LLC
Practice address
5540 Falmouth St Ste 203
Richmond, VA 23230-1800
Phone
(804) 344-0009
Fax
(804) 344-4443
NPI assigned
Sep 10, 2025
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Penny Gough
Title
President
Phone
(804) 344-0009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

5540 Falmouth St Ste 203
Richmond, VA 23230-1800

Mailing address

5540 Falmouth St Ste 203
Richmond, VA 23230-1800
Phone (804) 344-0009

National Provider Directory

National Provider Directory

Locations

5540 Falmouth St
Ste 203
Richmond, VA 23230
Phone (804) 344-0009

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1104707561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 FALMOUTH ST STE 203",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301800",
            "telephone_number": "804-344-0009",
            "fax_number": "804-344-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 FALMOUTH ST STE 203",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301800",
            "telephone_number": "804-344-0009",
            "fax_number": "804-344-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC INNOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "GOUGH",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-344-0009",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.