Personal Incontinent Care, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0104319771 Issued in IN

Legal business name

PERSONAL INCONTINENT CARE, INC.

Practice address

7501 W Jefferson Blvd
Fort Wayne, IN 46804-4131

Phone

(260) 483-7720

Fax

(260) 483-7721

NPI assigned

Oct 10, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Lora L Acker

Title

President / Ceo

Phone

(260) 483-7720

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Personal Care Medical Supplies Doing business as

Locations

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1073501425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044131",
            "telephone_number": "260-483-7720",
            "fax_number": "260-483-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044131",
            "telephone_number": "260-483-7720",
            "fax_number": "260-483-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL INCONTINENT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "ACKER",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "260-483-7720",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "0104319771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200230430A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Care Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Perry, MS
• Kelly Marie Perry, FNP
• Nancy Anne Perry, LPN
• Jane Ann Persing
• Personal Control and Wellness Consulting Group LLC
• Abel Deepak Perumala
• Nevaeh Petelle
• Christine Peters
• Eileen Peters, LMHC
• Elizabeth Peters

• Durable Medical Equipment & Medical Supplies in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.