PROCARE HOME MEDICAL, INC (NPI# 1124466925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124466925 |
Entity Type | Organization |
Organization Name | PROCARE HOME MEDICAL, INC |
Practice Address |
3519 Industrial Ave Fairbanks AK 99701-7377 |
Mailing Address |
Po Box 143221 Anchorage AK 99514-3221 |
Practice Telephone | 9074588912 |
Practice Fax Number | 9074588914 |
Mailing Telephone | 9072740770 |
Mailing Fax Number | 9072740773 |
Enumeration Date | 2013-06-13 |
Last Update Date | 2013-06-13 |
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 |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | AK | Suppliers | |
Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
AK | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | MS9610 | 05 |
Street Address |
3519 INDUSTRIAL AVE |
City | FAIRBANKS |
State | AK |
Zip Code | 99701-7377 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770593048 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 3519 Industrial Ave, Fairbanks, AK 99701-7377 | 2006-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
Find all providers in zip 99701 |
Taxonomy Code | 332BX2000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Oxygen Equipment & Supplies |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770593048 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 3519 Industrial Ave, Fairbanks, AK 99701-7377 | 2006-08-09 |
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 |
1043391725 | Procare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5050 E Dunbar Dr, Ste C2, Wasilla, AK 99654-7758 | 2006-10-18 |
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 |
Please comment or provide details below to improve the information on PROCARE HOME MEDICAL, INC.
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.