| Mps Healthcare Inc | |
|
8230 Leesburg Pike Ste 740 Vienna VA 22182-2641 | |
| (703) 506-0123 | |
| (703) 734-1932 |
| Full Name | Mps Healthcare Inc |
|---|---|
| Speciality | Home Health |
| Location | 8230 Leesburg Pike Ste 740, Vienna, Virginia |
| Authorized Official Name and Position | Chris Walker (CFO) |
| Authorized Official Contact | 7035060123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mps Healthcare Inc 8230 Leesburg Pike Ste 740 Vienna VA 22182-2641 Ph: (703) 506-0123 | Mps Healthcare Inc 8230 Leesburg Pike Ste 740 Vienna VA 22182-2641 Ph: (703) 506-0123 |
| NPI Number | 1689638488 |
|---|---|
| Provider Enumeration Date | 04/17/2006 |
| Last Update Date | 12/08/2023 |
| Certification Date | 12/08/2023 |
| Medicare PECOS PAC ID | 0547178782 |
|---|---|
| Medicare Enrollment ID | O20031125000703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689638488 | NPI | - | NPPES |
| 1689638488 | Medicaid | MD | |
| 403003600 | Medicaid | MD | |
| 1689638488 | Medicaid | VA | |
| 008750521 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (Colorado) | Secondary |
| 251J00000X | Nursing Care | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | 13926 (Maryland) | Primary |
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