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PERSONAL INCONTINENT CARE INC. NPI 1073501425


NPI Information

NPI: 1073501425
Provider Name: PERSONAL INCONTINENT CARE, INC.

Doing Business As: PERSONAL CARE MEDICAL SUPPLIES

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
7501 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
Phone: (260) 483-7720
Get Directions

PERSONAL INCONTINENT CARE, INC. is a durable medical equipment medical supplies in Fort Wayne, IN. The provider is 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. PERSONAL INCONTINENT CARE, INC. NPI is 1073501425. The provider is registered as an organization entity type.
The provider Is Doing Business As Personal Care Medical Supplies.

The provider's business location address is:

7501 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804-131
Phone: (260) 483-7720
Fax: (260) 483-7721

The provider's authorized official is Lora L Acker .
The authorized official title is President / Ceo and has the following contact phone number (260) 483-7720.

The enumeration date for this NPI number is 10/10/2005 and was last updated on 3/20/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies0104319771INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200230430AMEDICAIDINDIANA
21321210001MEDICARE ID-TYPE UNSPECIFIEDINDIANAMEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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