Provider Demographics
NPI:1851114482
Name:MCMAVE HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:MCMAVE HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAC PAUL
Authorized Official - Middle Name:OSEI KWADWO
Authorized Official - Last Name:ODEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-499-5357
Mailing Address - Street 1:2735 PRIMROSE TRL
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-5877
Mailing Address - Country:US
Mailing Address - Phone:614-499-5357
Mailing Address - Fax:
Practice Address - Street 1:2735 PRIMROSE TRL
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-5877
Practice Address - Country:US
Practice Address - Phone:614-499-5357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)