Manor Care Health Services Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

EXEMPT Issued in AL

Legal business name

MANOR CARE HEALTH SERVICES INC.

Practice address

390 Underwood Rd
Russellville, AL 35653-4105

Phone

(256) 332-1810

Fax

(256) 332-3874

NPI assigned

Oct 6, 2006

Last updated

Feb 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Phillip Randal Wade

Title

Pres.

Phone

(256) 332-1810

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1093802639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 UNDERWOOD RD",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356534105",
            "telephone_number": "256-332-1810",
            "fax_number": "256-332-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 UNDERWOOD RD",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356534105",
            "telephone_number": "256-332-1810",
            "fax_number": "256-332-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR CARE HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "RANDAL",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "256-332-1810",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "EXEMPT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME MAC",
            "identifier": "0667040001",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Reynolds Longmire, MD
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• Jeffrey Derrick Manord, M.D.
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• Mark E. Love DMD ,PC
• Colin Martin, PT
• Jordan Nicole Reynolds Mayfield, COTA/L

• Durable Medical Equipment & Medical Supplies in Russellville, AL
• Providers in Russellville, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.