LTC PROVIDERS, INC (NPI# 1356382790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356382790 |
| Entity Type | Organization |
| Organization Name | LTC PROVIDERS, INC |
| Other Organization Name | LTC PROVIDERS |
| Practice Address |
115 Progress Pkwy Sullivan MO 63080-2359 |
| Mailing Address |
Po Box 69 Sullivan MO 63080-0069 |
| Practice Telephone | 5738606800 |
| Practice Fax Number | 5738606801 |
| Mailing Telephone | 5738606800 |
| Mailing Fax Number | 5738606801 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-05-27 |
| Authorized Official Name | MR. JEFFREY D LOCK (PRESIDENT OWNER) |
| Authorized Official Telephone | 5738606800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 15522814 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 627718802 | 05 |
| Other Name | Type Code |
|---|---|
| LTC PROVIDERS | Doing Business As Name - Organization |
| Street Address |
115 PROGRESS PKWY |
| City | SULLIVAN |
| State | MO |
| Zip Code | 63080-2359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568904050 | Nicole Edwin | Speech-Language Pathologist | 115 Progress Pkwy, Sullivan, MO 63080-2359 | 2016-11-15 |
| 1962878488 | Thera-peds, LLC | Clinic/Center | 115 Progress Pkwy, Sullivan, MO 63080-2359 | 2015-08-19 |
| 1396865663 | Ltc Providers, Inc. | Durable Medical Equipment & Medical Supplies | 115 Progress Pkwy, Sullivan, MO 63080-2359 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669896650 | Lindsay Nicole Arnette | Physical Therapist | 940 Mattox Drive, Meramec Nursing Center, Sullivan, MO 63080 | 2014-02-11 |
| 1407099500 | Victorian Manor of Sullivan | Assisted Living Facility | 1250 East Springfield Rd, Sullivan, MO 63080 | 2009-04-20 |
| 1578729992 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 123 Progress Parkway, Sullivan, MO 63080 | 2008-08-05 |
| 1386826089 | Sellers Family Chiropractic PC | Chiropractor | 405 Wal Mart Drive, Sullivan, MO 63080 | 2007-12-04 |
| 1740495282 | Tasha Marie Rodriguez | Physical Therapist | 107 Congress Dr., Sullivan, MO 63080 | 2007-05-10 |
| 1033261649 | Clyde William Sellers II | Chiropractor | 405 Walmart Dr., Sullivan, MO 63080 | 2007-01-17 |
| 1407954209 | Sara Skidmore | Occupational Therapist | 2022 Phoenix Drive, Sullivan, MO 63080 | 2006-09-20 |
| 1083724116 | Sharon A Titter | Physical Therapist | 107 Progress Dr, Sullivan, MO 63080 | 2006-08-30 |
| 1437135571 | Thanh Duy Vo | Pediatrics | 486 N Church St, Sullivan, MO 63080 | 2005-12-20 |
| 1508849316 | Air Evac Ems Inc | Ambulance | 673 Sappington Bridge Rd, Sullivan, MO 63080 | 2005-11-25 |
| Find all providers in zip 63080 | ||||
| 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 |
|---|---|---|---|---|
| 1275768160 | Melissa Pena | Durable Medical Equipment & Medical Supplies | 715 E. Expressway 83, Sullivan, TX 78595-0263 | 2009-05-20 |
| 1902083918 | Border Line D.m.e. | Durable Medical Equipment & Medical Supplies | 2800 W. Expressway 83, Sullivan, TX 78595 | 2008-01-22 |
| 1366586984 | Jarco Inc | Durable Medical Equipment & Medical Supplies | 6 E Springfield, Sullivan, MO 63080-1310 | 2007-02-16 |
| 1306949011 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 275 S Section St, Sullivan, IN 47882-1808 | 2006-09-07 |
| 1750309605 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 757 W Wolfe St, Sullivan, IN 47882-7116 | 2006-07-18 |
| 1780601005 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 350 Park Ridge Rd, Sullivan, MO 63080-3334 | 2006-07-16 |
| 1467454629 | Jarco, Inc. | Durable Medical Equipment & Medical Supplies | 6 E Springfield Rd, Sullivan, MO 63080-1310 | 2005-06-01 |
| 1407102106 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6 E Springfield Rd, Sullivan, MO 63080-1310 | 2012-07-31 |
| 1396865663 | Ltc Providers, Inc. | Durable Medical Equipment & Medical Supplies | 115 Progress Pkwy, Sullivan, MO 63080-2359 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407646 | Troutman Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 5337 S Campbell Ave Ste A2, Springfield, MO 65810-2494 | 2020-11-07 |
| 1033719323 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 7001 Blue Ridge Blvd Ste P, Raytown, MO 64133-5629 | 2020-10-27 |
| 1093312241 | Axes Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 7483 Mexico Rd, Saint Peters, MO 63376-1304 | 2020-10-01 |
| 1083228233 | Best Care Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2200 W Port Plaza Dr Ste 220b, Saint Louis, MO 63146-3211 | 2020-09-04 |
| 1194339515 | Neighborhood Ltc Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4240 Blue Ridge Blvd Ste 100, Kansas City, MO 64133-1703 | 2020-09-02 |
| 1497368773 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1430 Olive St Ste P, Saint Louis, MO 63103-2360 | 2020-08-26 |
| 1124630546 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 1840 N Commerce Dr, Nixa, MO 65714-7603 | 2020-08-18 |
| 1497373989 | Taylor Made Walk In Tubs LLC | Durable Medical Equipment & Medical Supplies | 420 Nichols Rd, Kansas City, MO 64112-2005 | 2020-07-10 |
| 1487277687 | Medline Industries, Inc. | Durable Medical Equipment & Medical Supplies | 1401 Universal Ave, Kansas City, MO 64120-2139 | 2020-05-21 |
| 1942822549 | Axes Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 213 Village Square Shop Ctr, Hazelwood, MO 63042-1838 | 2020-05-18 |
| Find all providers with the same taxonomy | ||||
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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.