IMMACULATE MEDICAL SUPPLIES, INC. (NPI# 1265666192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265666192 |
| Entity Type | Organization |
| Organization Name | IMMACULATE MEDICAL SUPPLIES, INC. |
| Practice Address |
179 S Watson Rd Suite 418 Arlington TX 76010-5416 |
| Practice Telephone | 6825519886 |
| Practice Fax Number | 6825519886 |
| Mailing Telephone | 6825519886 |
| Mailing Fax Number | 6825519886 |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |
| Authorized Official Name | MR. HILARY DAVID JR. (CEO) |
| Authorized Official Telephone | 6825519886 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
179 S WATSON RD SUITE 418 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76010-5416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568695518 | Hilary David | Contractor | 179 S Watson Rd, Suite 418, Arlington, TX 76010-5416 | 2009-08-25 |
| 1114251147 | Mobile Medical Maintenance Co. | Durable Medical Equipment & Medical Supplies | 179 S Watson Rd, Suite 420, Arlington, TX 76010-5416 | 2009-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538679147 | Evbu Evely Osunde | Nurse Practitioner | 1115 E Arkansas Lane, Suite B, Arlington, TX 76010 | 2017-10-10 |
| 1710429725 | Faith Home Care LLC | Home Health | 201 E Abram Ste #120, Arlington, TX 76010 | 2016-11-08 |
| 1487017687 | Vietcare Home Health Inc | Technician | 124 W Pioneer Pkwy # 160, Arlington, TX 76010 | 2016-04-04 |
| 1003278615 | Donna Green | Nurse Practitioner | 615 East Abrams, Arlington, TX 76010 | 2016-03-23 |
| 1568701241 | Antonio P. Serrano, M.d., P.a. | Family Medicine | 100 W. Pioneer Pkwy, Suite 111, Arlington, TX 76010 | 2013-01-31 |
| 1770860173 | Spruce Dental | Dentist | 939 E. Park Row Dr, Arlington, TX 76010 | 2011-11-14 |
| 1730488461 | Truecare Dfw, Inc | Home Health | 1120 E Pioneer Pkwy Ste 102, Arlington, TX 76010 | 2011-03-21 |
| 1669776464 | Nisha Liz John | Dentist | 1900 East Pioneer Parkway, Arlington, TX 76010 | 2011-01-07 |
| 1649500398 | Elaine P Nguyen | Registered Nurse | 1816 Jocyle St, Arlington, TX 76010 | 2009-12-31 |
| 1285801589 | North Texas Addiction Counseling & Education, Inc. | Clinic/Center | 124 W Pioneer Pkwy Ste 120, Arlington, TX 76010 | 2008-05-15 |
| Find all providers in zip 76010 | ||||
| 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 |
|---|---|---|---|---|
| 1609494178 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 740 N Glebe Rd, Arlington, VA 22203-2257 | 2020-07-10 |
| 1255958229 | Patients Choice, LLC | Durable Medical Equipment & Medical Supplies | 719 W. Harris St., Suite B10, Arlington, TX 76001 | 2020-06-25 |
| 1013533314 | Arlington Orthopedic Associates, Pa | Durable Medical Equipment & Medical Supplies | 4100 N Collins St Ste 200, Arlington, TX 76005-4551 | 2020-06-23 |
| 1467077560 | Virginia Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 750 N Glebe Rd, Arlington, VA 22203-4441 | 2020-06-15 |
| 1922621960 | Virginia Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 4060 Campbell Ave, Arlington, VA 22206-3424 | 2020-05-26 |
| 1124649884 | Synergy Medical Sales LLC | Durable Medical Equipment & Medical Supplies | 2303 Roosevelt Dr Ste A, Arlington, TX 76016-5951 | 2020-05-04 |
| 1659928638 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2120 Washington Blvd Rm 115, Arlington, VA 22204-5718 | 2019-08-23 |
| 1639725112 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 950 S George Mason Dr, Arlington, VA 22204-1557 | 2019-08-12 |
| 1760945786 | Lexington Eye Associates - Optical | Durable Medical Equipment & Medical Supplies | 1040 Massachusetts Ave, Arlington, MA 02476-4315 | 2019-04-08 |
| 1720564040 | Malesco LLC | Durable Medical Equipment & Medical Supplies | 2805 W. Arkansas Ln #300, Arlington, TX 76016 | 2018-07-19 |
| Find all providers in ARLINGTON | ||||
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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.