1346332863 NPI number — MP TOTALCARE SERVICES, INC.

Table of content: (NPI 1346332863)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346332863 NPI number — MP TOTALCARE SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MP TOTALCARE SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346332863
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/22/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
160 FOUNTAIN PKWY N STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ST PETERSBURG
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33716-1411
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-628-2100
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3030 LBJ FWY STE 1530
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75234-7781
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-773-4553
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HOFMEISTER
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
972-628-2100

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0016209500005 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3330028 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100815990A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 500616295 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1346332863 , issued by the state of ( UT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 201224716 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100026234 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1346332863 , issued by the state of ( IL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 451300200 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 010230301 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 010230303 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0170233 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0270871 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100357680E , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00440322 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 03225303 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1346332863 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 300000524 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9045014 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3078903 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".




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