Procare Home Medical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROCARE HOME MEDICAL, INC.

Practice address

915 30TH Ave Ste 106
Fairbanks, AK 99701-7577

Phone

(907) 458-8912

Fax

(907) 458-8914

NPI assigned

Jun 13, 2013

Organization subpart

No

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

Authorized official

Name

Aaron Sycks

Title

Ceo

Phone

(206) 697-1892

Specialties & licenses 4

Addresses

Other names 1

• Procare Home Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Tax ID family

Procare Home Medical Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Procare Home Medical, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Wasilla, AK
  • NPI 1043391725
  NPD tax ID
• Procare Home Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Wasilla, AK
  • NPI 1578013173
  NPD tax ID
• Procare Home Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Anchorage, AK
  • NPI 1780625533
  NPD tax ID

Locations

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Procare Home Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Wasilla, AK
  • NPI 1578013173

  5890816250

  Same PAC ID
• Procare Home Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Anchorage, AK
  • NPI 1780625533

  5890816250

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1124466925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 CREDIT UNION DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036659",
            "telephone_number": "907-274-0770",
            "fax_number": "907-274-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 30TH AVE STE 106",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017577",
            "telephone_number": "907-458-8912",
            "fax_number": "907-458-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE HOME MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "SYCKS",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-697-1892"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Procare Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Myron Priebe, MSOM
• Michael William Priebe, PA-C
• Tima C. Priess, MA, LMFT
• Mary Priest
• Hayley Primm
• Holly Proell, PT-CLT
• Professional Pharmacy LLC
• Professional Pharmacy LLC
• Professional Pharmacy LLC
• Alyssa Prollock, RD

• All providers in Fairbanks, AK
• Durable Medical Equipment & Medical Supplies in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.