Provider Demographics
NPI:1699379255
Name:MINCEY HEALTH SERVICES INCORPORATED
Entity type:Organization
Organization Name:MINCEY HEALTH SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JOSIAH
Authorized Official - Last Name:MINCEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-473-3639
Mailing Address - Street 1:9902 REISTERSTOWN RD # 344
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3945
Mailing Address - Country:US
Mailing Address - Phone:443-473-3639
Mailing Address - Fax:
Practice Address - Street 1:3704 BURMONT AVE
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-2804
Practice Address - Country:US
Practice Address - Phone:443-473-3639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MINCEY HEALTH SERVICES INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health