PROCARE HOME MEDICAL, INC. (NPI# 1578013173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578013173 |
| Entity Type | Organization |
| Organization Name | PROCARE HOME MEDICAL, INC. |
| Practice Address |
901 N Leatherleaf Loop Suite 104 Wasilla AK 99654-6576 |
| Mailing Address |
713 Northway Dr Anchorage AK 99508-2030 |
| Practice Telephone | 9073577882 |
| Mailing Telephone | 9072740770 |
| Mailing Fax Number | 9072740773 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | CAROL SYCKS (OWNER/CEO) |
| Authorized Official Telephone | 9072740770 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 405559 | AK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MS9610 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043391725 | Procare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5050 E Dunbar Dr, Ste C2, Wasilla, AK 99654-7758 | 2006-10-18 |
| Street Address |
901 N LEATHERLEAF LOOP SUITE 104 |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-6576 |
| 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 | 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 |
|---|---|---|---|---|
| 1427661974 | Scott Dean Heim | Durable Medical Equipment & Medical Supplies | 1051 E Bogard Rd Ste 6, Wasilla, AK 99654-7174 | 2020-08-25 |
| 1750945358 | Orthoalaska LLC | Durable Medical Equipment & Medical Supplies | 1175 N Leatherleaf Loop Ste A, Wasilla, AK 99654-6527 | 2019-04-29 |
| 1902039373 | Northwest Medical, LLC. | Durable Medical Equipment & Medical Supplies | 1265 S Seward Meridian Pkwy Unit De, Wasilla, AK 99654-8351 | 2009-09-01 |
| 1760616841 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1721 E Parks Hwy, Wasilla, AK 99654-7349 | 2009-05-05 |
| 1073782975 | Frontier Group, Inc. | Durable Medical Equipment & Medical Supplies | 619 S Knik Goose Bay Rd, Suite F, Wasilla, AK 99654-8075 | 2008-02-25 |
| 1508977422 | Apria Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 2750 Broadview Ave, Suite B, Wasilla, AK 99654-8303 | 2006-08-31 |
| 1841205226 | Alyeska International, Inc. | Durable Medical Equipment & Medical Supplies | 1051 E. Bogard Rd, Ste 1, Wasilla, AK 99654 | 2006-07-31 |
| 1831128875 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 595 E Parks Highway # 300, Wasilla, AK 99687 | 2006-07-02 |
| 1184234189 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 595 E Parks Hwy # 300, Wasilla, AK 99654-8150 | 2020-08-04 |
| 1053678227 | Sleep Centers of Alaska LLC | Durable Medical Equipment & Medical Supplies | 351 W Parks Hwy, Suite 100, Wasilla, AK 99654-6920 | 2012-04-12 |
| Find all providers in WASILLA | ||||
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.