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PROCARE HOME MEDICAL INC. NPI 1780625533


NPI Information

NPI: 1780625533
Provider Name: PROCARE HOME MEDICAL, INC.

Doing Business As: PROCARE HOME MEDICAL

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
4215 CREDIT UNION DR
ANCHORAGE, AK
ZIP 99503
Phone: (907) 274-0770
Get Directions

PROCARE HOME MEDICAL, INC. is a durable medical equipment medical supplies in Anchorage, AK. 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. PROCARE HOME MEDICAL, INC. NPI is 1780625533. The provider is registered as an organization entity type.
The provider Is Doing Business As Procare Home Medical.

The provider's business location address is:

4215 CREDIT UNION DR
ANCHORAGE, AK
ZIP 99503-659
Phone: (907) 274-0770
Fax: (907) 274-0773

The provider's authorized official is Aaron Sycks .
The authorized official title is Ceo and has the following contact phone number (206) 697-1892.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 8/9/2021.


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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
3332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo
4332B00000XDurable Medical Equipment & Medical SuppliesYes

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
11022027MEDICAIDALASKA

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: 11/14/2023

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