Organization Active NPI

Medcare Health, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fresno, CA
National Provider Identifier
1003993296
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDCARE HEALTH, INC.
Practice address
5475 N Fresno St Ste 109
Fresno, CA 93710
Phone
(559) 435-7865
Fax
(559) 435-7866
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Andre Shiglik
Title
GM
Phone
(559) 776-1775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5475 N Fresno St Ste 109
Fresno, CA 93710

Mailing address

5475 N Fresno St Ste 109
Fresno, CA 93710-8333
Phone (559) 435-7865

Other practice location 1

1205 11th St
Reedley, CA 93654-2924
Phone (559) 435-7865

Other identifiers 1

IdentifierTypeStateIssuer
1003993296MedicaidCA

Other names 1

  • Medcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930080672 CA DME Supplier - Medical Supply Company 3476757782 Practice locations: Fresno, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Medcare Health Inc5475 N Fresno St, Fresno, CA 93710-8333(559) 435-7865 Commodes, Urinals, Bedpans|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs (Standard Power Related Accessories)|Wheelchair Seating/Cushions|Orthoses: Prefabric… Accepts assignmentParticipating since Jan 1, 2012

National Provider Directory

National Provider Directory

Locations

6735 N 1st St
Ste 113
Fresno, CA 93710
Phone (559) 435-7865

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1003993296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 N FRESNO ST STE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108333",
            "telephone_number": "559-435-7865",
            "fax_number": "559-435-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 N FRESNO ST STE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-435-7865",
            "fax_number": "559-435-7866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 11th St",
            "address_purpose": "LOCATION",
            "city": "Reedley",
            "state": "CA",
            "postal_code": "936542924",
            "country_code": "US",
            "telephone_number": "559-435-7865",
            "fax_number": "559-435-7866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDCARE HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "SHIGLIK",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "GM",
        "authorized_official_telephone_number": "559-776-1775",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003993296",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.