Ambercare Medical Supply Co.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AMBERCARE MEDICAL SUPPLY CO.

Practice address

707 E Pine St
Suite a
Deming, NM 88030

Phone

(575) 556-8409

NPI assigned

Feb 5, 2015

Organization subpart

Yes

Parent organization

ADDUS HEALTHCARE, INCAs reported in NPPES

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

Authorized official

Name

Mrs. Diane Kumarich, RN, MBA, MS

Title

VP National Contracts

Phone

(630) 296-3530

Specialties & licenses 1

Addresses

Tax ID family

Ambercare Medical Supply2 organizations share this tax ID, including this one

Part of

Addus Healthcare Inc

Other organizations with this tax ID 1

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

• Ambercare Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NM
  • NPI 1023409521
  NPD tax ID

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1124419627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WARRNVILLE RD.",
            "address_2": "STE 100",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151765",
            "telephone_number": "630-296-3400",
            "fax_number": "630-487-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E PINE ST",
            "address_2": "SUITE A",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "88030",
            "telephone_number": "575-556-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBERCARE MEDICAL SUPPLY CO.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADDUS HEALTHCARE, INC",
        "enumeration_date": "2015-02-05",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "KUMARICH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "VP NATIONAL CONTRACTS",
        "authorized_official_telephone_number": "630-296-3530",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MBA, MS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Itzel Aldaz
• Jose Miguel Aldea, P.T.
• Sarah Aldea
• Virginia Nicholls Aldea, OTR/L
• Karen Amaro
• David Ames, LMHC
• Pamela Amparano, CNP
• Aubry Anaya
• Raymond A Anaya
• Sheryl K Anderson, LPCC

• All providers in Deming, NM
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.