EXTREMITY CARE, LLC (NPI# 1033690920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033690920 |
Entity Type | Organization |
Organization Name | EXTREMITY CARE, LLC |
Other Organization Name | EXTREMITY CARE |
Practice Address |
3901 Main Street, Suite 101a Philadelphia PA 19127 |
Practice Telephone | 8886946694 |
Practice Fax Number | 8008868266 |
Mailing Telephone | 8886946694 |
Mailing Fax Number | 8008868266 |
Enumeration Date | 2018-08-28 |
Last Update Date | 2018-08-28 |
Authorized Official Name | SCOTT ANDREW MADDEN (OWNER) |
Authorized Official Telephone | 8153827462 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | PA | Suppliers |
Other Name | Type Code |
---|---|
Extremity Care | Doing Business As Name - Organization |
Extremity Care, LLC | Doing Business As Name - Organization |
Street Address |
3901 MAIN STREET, SUITE 101A |
City | PHILADELPHIA |
State | PA |
Zip Code | 19127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477197218 | Karen M Johnson | Social Worker | 4001 Main Street, Suite 202, Philadelphia, PA 19127 | 2019-11-05 |
1801363304 | Associates for Well-being | Psychologist | 4001 Main Street, Suite 202, Philadelphia, PA 19127 | 2018-11-01 |
1275062549 | Jamie Mae Cunningham | Specialist/Technologist | 153 East Street, Philadelphia, PA 19127 | 2017-06-08 |
1073957957 | Sarah Alice Sall | Massage Therapist | 4600 Smick Street, Philadelphia, PA 19127 | 2013-04-23 |
1710245303 | Marie C Croghan | Occupational Therapist | 4601 Flat Rock Road, Apt. 514, Philadelphia, PA 19127 | 2012-05-02 |
1396938288 | Lisa Erin Starke | Occupational Therapist | 169 Conarroe St, Philadelphia, PA 19127 | 2007-08-23 |
1700448511 | Stefan Markovic | Family Medicine | 10 Shurs Ln, #203, Philadelphia, PA 19127 | 2019-07-01 |
1467912642 | Healing Energy Homecare, LLC | In Home Supportive Care | 4001 Main St, Ste 210, Philadelphia, PA 19127 | 2019-03-22 |
1962015537 | Joanna Elizabeth Vanore | Social Worker | 4725 Sheldon St, Philadelphia, PA 19127-1008 | 2020-08-24 |
1720641491 | Mtc Wellness, LLC | Clinic/Center | 280 Ripka St, Philadelphia, PA 19127-1125 | 2019-04-18 |
Find all providers in zip 19127 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710590534 | Restorative Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1516 N 5th St Unit 327, Philadelphia, PA 19122-3679 | 2020-08-31 |
1730799982 | The Medical Store, Inc. | Durable Medical Equipment & Medical Supplies | 210 Canal Pl, Philadelphia, MS 39350-8909 | 2020-08-03 |
1487279170 | The Doctor Shop L.L.C. | Durable Medical Equipment & Medical Supplies | 10067 Sandmeyer Ln Ste 214, Philadelphia, PA 19116-3533 | 2020-06-09 |
1427687813 | Squeezren, LLC | Durable Medical Equipment & Medical Supplies | 5902 Old York Rd, Philadelphia, PA 19141-2342 | 2020-04-07 |
1881228930 | Vantage Eyecare, LLC | Durable Medical Equipment & Medical Supplies | 1930 S Broad St Unit 16, Philadelphia, PA 19145-2328 | 2020-02-27 |
1508410531 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3550 Market St Ste 103, Philadelphia, PA 19104-3329 | 2019-07-29 |
1033761788 | Pennsylvania Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 490 N. Broad Street Suite 100, Philadelphia, PA 19130-4312 | 2019-07-12 |
1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
1174189294 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1717 N 12th St Unit F, Philadelphia, PA 19122-2585 | 2019-05-14 |
1285196238 | Ernest Thomas Jr. | Durable Medical Equipment & Medical Supplies | 300 E Godfrey Ave, Philadelphia, PA 19120-1646 | 2019-04-01 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19127 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.