Active NPI
MP Totalcare Medical, Inc.
- Durable Medical Equipment & Medical Supplies
- Duluth, GA
National Provider Identifier
1841382363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MP TOTALCARE MEDICAL, INC.
- Doing business as
- CCS Medical
- Practice address
- 3505 Koger Blvd.
Suite 220
Duluth, GA 30096-7671 - Phone
- (770) 407-4430
- Fax
- (866) 387-8451
- NPI assigned
- Sep 29, 2006
- Organization subpart
- Yes
- Parent organization
- CCS MEDICAL HOLDINGS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Monica S Raines
- Title
- Director/Secretary
- Phone
- (972) 628-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3505 Koger Blvd.
Suite 220
Duluth, GA 30096-7671
Mailing address
1505 LBJ Freeway
Suite 600
Farmers Branch, TX 75234-6074
Phone (972) 628-2100
Other identifiers 43
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009305140 | Medicaid | AL | |
| 111086100 | Medicaid | WY | |
| 1970557 | Medicaid | LA | |
| 9502459-00 | Medicaid | FL | |
| DME593 | Medicaid | SC | |
| 100798850A | Medicaid | OK | |
| 207944 | Medicaid | OR | |
| 795517100 | Medicaid | MN | |
| 8106908 | Medicaid | NJ | |
| 0761892-02 CSHCN | Medicaid | TX | |
| 0962196 | Medicaid | OH | |
| 100005220A | Medicaid | KS | |
| 30008023 | Medicaid | NH | |
| 332558000 | Medicaid | MD | |
| 3870001 | Medicaid | RI | |
| 0014731660004 | Medicaid | PA | |
| 141828701 | Medicaid | TX | |
| 180770000 | Medicaid | ME | |
| 1841382363 | Medicaid | MT | |
| 866585 | Medicaid | AZ | |
| 87-4442397 | Medicaid | MI | |
| 00076382 | Medicaid | NM | |
| 00440047 | Medicaid | MS | |
| 0091-2871-9 | Medicaid | VA | |
| 032738900 | Medicaid | DC | |
| 1125513 | Medicaid | KY | |
| 4581554 | Medicaid | TN | |
| 59910 | Medicaid | ND | |
| 81444000 | Medicaid | WI | |
| 9100026000 | Medicaid | WV | |
| 98003254 | Medicaid | CO | |
| 002105800 | Medicaid | ID | |
| 0955997 | Medicaid | IA | |
| 90022302 | Medicaid | KY | |
| 9039470 | Medicaid | WA | |
| 00405226B | Medicaid | GA | |
| 02871598 | Medicaid | NY | |
| 125809741 | Medicaid | AR | |
| 141797401 | Medicaid | TX | |
| 1536303 | Medicaid | MA | |
| 9160610 | Medicaid | SD | |
| 100381070B | Medicaid | IN | |
| MS392CA | Medicaid | AK |
Other names 1
- CCS Medical
National Provider Directory
National Provider DirectoryLocations
3505 Koger Blvd
Ste 220
Duluth, GA 30096
Phone (770) 407-4430
2105 Newpoint Pl
Ste 600
Lawrenceville, GA 30043
Phone (866) 804-7067
1505 LBJ
Ste 600
Farmers Branch, TX 75234
Phone (972) 773-4373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407110400000",
"number": "1841382363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 LBJ FREEWAY",
"address_2": "SUITE 600",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752346074",
"telephone_number": "972-628-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 KOGER BLVD.",
"address_2": "SUITE 220",
"city": "DULUTH",
"state": "GA",
"postal_code": "300967671",
"telephone_number": "770-407-4430",
"fax_number": "866-387-8451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MP TOTALCARE MEDICAL, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CCS MEDICAL HOLDINGS, INC.",
"enumeration_date": "2006-09-29",
"last_updated": "2014-08-04",
"status": "A",
"authorized_official_last_name": "RAINES",
"authorized_official_first_name": "MONICA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "DIRECTOR/SECRETARY",
"authorized_official_telephone_number": "972-628-2100",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
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"primary": true
}
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"endpoints": [],
"other_names": [
{
"organization_name": "CCS Medical",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.