Modern Medical Care, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MODERN MEDICAL CARE, INC.

Practice address

206 W Eaton St
Trenton, TN 38382

Phone

(731) 855-0181

Fax

(731) 855-1312

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Anthony Walton Moore, LPN

Title

Co-Owner

Phone

(731) 855-0181

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043379969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 161",
            "city": "TRENTON",
            "state": "TN",
            "postal_code": "38382",
            "telephone_number": "731-855-0181",
            "fax_number": "731-855-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W EATON ST",
            "city": "TRENTON",
            "state": "TN",
            "postal_code": "38382",
            "telephone_number": "731-855-0181",
            "fax_number": "731-855-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MEDICAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "WALTON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "731-855-0181",
        "authorized_official_credential": "LPN"
    },
    "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": "3553468",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Paraclete Counseling Services

• All providers in Trenton, TN
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.