Provider Demographics
NPI:1427658798
Name:MCAP BUCHANAN OPCO LLC
Entity type:Organization
Organization Name:MCAP BUCHANAN OPCO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CURTISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-591-9323
Mailing Address - Street 1:809 CAROLL ST
Mailing Address - Street 2:
Mailing Address - City:BUCHANAN
Mailing Address - State:MI
Mailing Address - Zip Code:49107-1738
Mailing Address - Country:US
Mailing Address - Phone:269-591-9323
Mailing Address - Fax:
Practice Address - Street 1:809 CAROLL ST
Practice Address - Street 2:
Practice Address - City:BUCHANAN
Practice Address - State:MI
Practice Address - Zip Code:49107-1738
Practice Address - Country:US
Practice Address - Phone:269-591-9323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)