Provider Demographics
NPI:1982447710
Name:MCKENZIE CARE ASSOCIATES LLC
Entity type:Organization
Organization Name:MCKENZIE CARE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EURNICKA
Authorized Official - Middle Name:A
Authorized Official - Last Name:NIXON
Authorized Official - Suffix:
Authorized Official - Credentials:HCO 0005652
Authorized Official - Phone:757-279-0594
Mailing Address - Street 1:319 MAIN ST STE 103
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23430-1326
Mailing Address - Country:US
Mailing Address - Phone:757-338-8409
Mailing Address - Fax:
Practice Address - Street 1:319 MAIN ST STE 103
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:VA
Practice Address - Zip Code:23430-1326
Practice Address - Country:US
Practice Address - Phone:757-338-8409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty