Procare Equipment and Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROCARE EQUIPMENT AND SUPPLIES INC

Practice address

2028 E Ben White Blvd Ste 450
Austin, TX 78741-6998

Phone

(512) 379-8842

NPI assigned

Aug 23, 2024

Organization subpart

No

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

Authorized official

Name

Khalil Shafiq

Title

Authorized Official

Phone

(512) 379-8842

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1174356141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 E BEN WHITE BLVD STE 450",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416998",
            "telephone_number": "512-379-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 E BEN WHITE BLVD STE 450",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416998",
            "telephone_number": "512-379-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE EQUIPMENT AND SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "SHAFIQ",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "512-379-8842"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pro Med Tasks
• Pro Motion Physical Therapy LLC
• Pro Touch Caregivers LLC
• Pro-Active Physical Therapy
• Pro-Care Spine Center, LLC
• Procare Equipment LLC
• Tzvi Prochnik, LCSW
• Luke Prochnow, PHYSICIAN ASSISTANT
• Ross F Prochnow, MD
• Proderm PLLC

• Durable Medical Equipment & Medical Supplies in Austin, TX
• Providers in Austin, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.