Organization Active NPI

Personal Care Products, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Mesquite, TX
National Provider Identifier
1073856803
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PERSONAL CARE PRODUCTS, INC.
Practice address
924 Windbell Cir
Suite C
Mesquite, TX 75149-3125
Phone
(800) 575-0302
NPI assigned
Mar 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Authorized official

Name
Mr. Brad Statler
Title
President
Phone
(800) 575-0302

Specialties & licenses 1

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

Addresses

Primary practice location

924 Windbell Cir
Suite C
Mesquite, TX 75149-3125

Mailing address

1302 Rustique SQ
O Fallon, MO 63368-2231
Phone (800) 575-0302

Other identifiers 1

IdentifierTypeStateIssuer
010871402MedicaidTX

National Provider Directory

National Provider Directory

Locations

1302 Rustique Sq
O Fallon, MO 63368

924 Windbell Cir
Ste C
Mesquite, TX 75149
Phone (800) 575-0302

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1073856803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 RUSTIQUE SQ",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633682231",
            "telephone_number": "800-575-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 WINDBELL CIR",
            "address_2": "SUITE C",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493125",
            "telephone_number": "800-575-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CARE PRODUCTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "STATLER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-575-0302",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010871402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.