PROCARE DIRECT LLC (NPI# 1710266150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710266150 |
| Entity Type | Organization |
| Organization Name | PROCARE DIRECT LLC |
| Other Organization Name | PROCARE DIRECT |
| Practice Address |
1189 S 1680 W Orem UT 84058-5419 |
| Mailing Address |
105 S State St #602 Orem UT 84058-5419 |
| Practice Telephone | 8017097080 |
| Practice Fax Number | 8882094417 |
| Mailing Telephone | 8017097080 |
| Mailing Fax Number | 8882094417 |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2015-07-07 |
| Authorized Official Name | MR. MARK LATHAM (MANAGING MEMBER) |
| Authorized Official Telephone | 8017097080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| PROCARE DIRECT | Doing Business As Name - Organization |
| Street Address |
1189 S 1680 W |
| City | OREM |
| State | UT |
| Zip Code | 84058-5419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696782 | Kaley Brooksby | Behavior Technician | 1140 W 1130, Orem, UT 84058 | 2020-10-13 |
| 1679042303 | Carolyn Mott Harvey | Counselor | 276 E 905 S, Orem, UT 84058 | 2018-11-26 |
| 1902371826 | Jennifer Morgan Ellefsen | Nurse Practitioner | 800 W University Pkwy # Ms 200, Orem, UT 84058 | 2018-10-07 |
| 1508340944 | Eye Pros of Orem | Optometrist | 366 E. University Parkway, Orem, UT 84058 | 2018-09-21 |
| 1003398025 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 366 E University Pkwy, Orem, UT 84058 | 2018-09-06 |
| 1407338288 | Jecel Kevin Mendoza | Case Manager/Care Coordinator | 1109 W 1390 S, Orem, UT 84058 | 2018-08-29 |
| 1407368509 | Kaitlyn Winget | Specialist/Technologist | 800 W. University Pkwy, Dept of Athletics- Ms 104, Orem, UT 84058 | 2017-10-30 |
| 1871010454 | Linda S George | Behavior Technician | 1875 S Geneva Road, Orem, UT 84058 | 2017-08-24 |
| 1811435951 | Rhea V. Perry | Massage Therapist | 35 S 400 W, Orem, UT 84058 | 2017-02-09 |
| 1457735425 | John Thomas Garlock | Behavioral Analyst | 1140 W 1130 S Bld B, Orem, UT 84058 | 2015-07-19 |
| Find all providers in zip 84058 | ||||
| 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 |
|---|---|---|---|---|
| 1770008641 | Alder Holdings LLC | Durable Medical Equipment & Medical Supplies | 450 N 1500 W, Orem, UT 84057-2829 | 2017-08-11 |
| 1891146965 | Airpap LLC | Durable Medical Equipment & Medical Supplies | 417 N Orem Blvd Ste 417, Orem, UT 84057-8813 | 2016-06-29 |
| 1427479443 | Activecare, Inc. | Durable Medical Equipment & Medical Supplies | 1365 Business Park Dr, Orem, UT 84058-2302 | 2013-12-17 |
| 1891094215 | Lifetime Products Inc | Durable Medical Equipment & Medical Supplies | 1327 N State St, Orem, UT 84057-2662 | 2011-03-24 |
| 1093036014 | Active Care, Inc. | Durable Medical Equipment & Medical Supplies | 1365 W. Business Park Dr., Orem, UT 84058 | 2010-06-14 |
| 1215170451 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 1415 S State St, Orem, UT 84097-7703 | 2009-04-17 |
| 1467513358 | Orthopedic Services of Utah | Durable Medical Equipment & Medical Supplies | 555 South State Street, Suite 205, Orem, UT 84058-6398 | 2006-12-13 |
| 1396814992 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1442 W Business Park Dr, Orem, UT 84058-2223 | 2006-11-07 |
| 1164519856 | Advance Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 1268 S 1380 W, Orem, UT 84058-4911 | 2006-10-06 |
| 1770692063 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 774 South State Street, Orem, UT 84058-6308 | 2006-08-30 |
| Find all providers in OREM | ||||
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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.