Active NPI
Personal Care Products, Inc.
- Durable Medical Equipment & Medical Supplies
- Mesquite, TX
National Provider Identifier
1073856803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010871402 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.