NPIMap

Organization Active NPI

Medcare Home Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Springfield, MO
National Provider Identifier
1043496508
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
20045603 Issued in MO
Legal business name
MEDCARE HOME MEDICAL LLC
Practice address
1936 E Sunshine
Suite C
Springfield, MO 65804-1503
Phone
(417) 881-6300
Fax
(417) 882-0255
NPI assigned
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Authorized official

Name
Mr. Russell Allen Stringfellow
Title
Managing Member
Phone
(417) 459-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 20045603 MO Primary

Addresses

Primary practice location

1936 E Sunshine
Suite C
Springfield, MO 65804-1503

Mailing address

1936 E Sunshine
Suite C
Springfield, MO 65804-1503
Phone (417) 881-6300

National Provider Directory

National Provider Directory
Tax ID family
Medcare Home Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1936 E Sunshine St
Ste C
Springfield, MO 65804
Phone (417) 881-6300

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1043496508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 E SUNSHINE",
            "address_2": "SUITE C",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041503",
            "telephone_number": "417-881-6300",
            "fax_number": "417-882-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 E SUNSHINE",
            "address_2": "SUITE C",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041503",
            "telephone_number": "417-881-6300",
            "fax_number": "417-882-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE HOME MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "STRINGFELLOW",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "417-459-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "20045603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.