Organization
MP TOTALCARE MEDICAL, INC.
Active
Parent organization
CCS MEDICAL HOLDINGS, INC.
Other names
CCS Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
CCS MEDICAL HOLDINGS, INC.
Authorized official
MS. MONICA S RAINES (DIRECTOR/SECRETARY)
(972) 628-2100
Entity
Organization
Contact information
Practice address
3505 KOGER BLVD., SUITE 220, DULUTH, GA 30096-7671
(770) 407-4430
(866) 387-8451
Mailing address
1505 LBJ FREEWAY, SUITE 600, FARMERS BRANCH, TX 75234-6074
(972) 628-2100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00076382
—
NM
05
—
0014731660004
—
PA
05
—
002105800
—
ID
05
—
00405226B
—
GA
05
—
00440047
—
MS
05
—
0091-2871-9
—
VA
05
—
009305140
—
AL
05
—
02871598
—
NY
05
—
032738900
—
DC
05
—
0761892-02 CSHCN
—
TX
05
—
0955997
—
IA
05
—
0962196
—
OH
05
—
100005220A
—
KS
05
—
100381070B
—
IN
05
—
100798850A
—
OK
05
—
111086100
—
WY
05
—
1125513
—
KY
05
—
125809741
—
AR
05
—
141797401
—
TX
05
—
141828701
—
TX
05
—
1536303
—
MA
05
—
180770000
—
ME
05
—
1841382363
—
MT
05
—
1970557
—
LA
05
—
207944
—
OR
05
—
30008023
—
NH
05
—
332558000
—
MD
05
—
3870001
—
RI
05
—
4581554
—
TN
05
—
59910
—
ND
05
—
795517100
—
MN
05
—
8106908
—
NJ
05
—
81444000
—
WI
05
—
866585
—
AZ
05
—
87-4442397
—
MI
05
—
90022302
—
KY
05
—
9039470
—
WA
05
—
9100026000
—
WV
05
—
9160610
—
SD
05
—
9502459-00
—
FL
05
—
98003254
—
CO
05
—
DME593
—
SC
05
—
MS392CA
—
AK
Enumeration date
09/29/2006
Last updated
08/04/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us