PROCARE HOME MEDICAL, INC. (NPI# 1043391725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043391725 |
| Entity Type | Organization |
| Organization Name | PROCARE HOME MEDICAL, INC. |
| Practice Address |
5050 E Dunbar Dr Ste C2 Wasilla AK 99654-7758 |
| Mailing Address |
725 Northway Dr Anchorage AK 99508-2030 |
| Practice Telephone | 9073577882 |
| Practice Fax Number | 9073577883 |
| Mailing Telephone | 9072740770 |
| Mailing Fax Number | 9072740773 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-12-18 |
| Authorized Official Name | CAROL REBECCA SYCKS (PRESIDENT) |
| Authorized Official Telephone | 9072740770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
405559 | AK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MS9610 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578013173 | Procare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 901 N Leatherleaf Loop, Suite 104, Wasilla, AK 99654-6576 | 2016-10-06 |
| Street Address |
5050 E DUNBAR DR STE C2 |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588915755 | Alaska Pediatrics Associates PC | Pediatrics | 5050 E Dunbar Dr, Suite F, Wasilla, AK 99654-7758 | 2012-09-27 |
| 1952544512 | Procare PCa, Inc. | In Home Supportive Care | 5050 E Dunbar Dr, Ste C2, Wasilla, AK 99654-7758 | 2009-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962765347 | Mark D Halpin | Durable Medical Equipment & Medical Supplies | 347 W Danview Ave, Homer, AK 99603-7028 | 2012-06-20 |
| 1801081419 | Neal K Hansen | Durable Medical Equipment & Medical Supplies | 9737 Mud Bay Rd Ste 102, Ketchikan, AK 99901-9270 | 2007-09-07 |
| 1881803724 | Neal K Hansen | Durable Medical Equipment & Medical Supplies | 202 D1loop, Ketchikan, AK 99901 | 2007-05-21 |
| 1033127329 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 7120 Old Seward Hwy, Ste 102, Anchorage, AK 99518-2289 | 2006-08-03 |
| 1780625533 | Procare Home Medical Inc | Durable Medical Equipment & Medical Supplies | 4215 Credit Union Dr, Anchorage, AK 99503-6659 | 2006-06-10 |
| 1972653558 | Kamuck Incorporated | Durable Medical Equipment & Medical Supplies | 35911 Kenai Spur Hwy Ste 11, Soldotna, AK 99669-7155 | 2007-01-12 |
| 1649339409 | Denali Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4100 Lake Otis Pkwy, Suite 206, Anchorage, AK 99508-5222 | 2006-12-07 |
| 1770593048 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 3519 Industrial Ave, Fairbanks, AK 99701-7377 | 2006-08-09 |
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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.