Organization Active NPI

Intellicare

  • Durable Medical Equipment & Medical Supplies
  • Hermitage, TN
National Provider Identifier
1174767297
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INTELLICARE
Practice address
3960 Bell Rd Apt 602
Hermitage, TN 37076-2965
Phone
(615) 478-5108
NPI assigned
Apr 21, 2009
Last updated
Apr 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Mr. Milad K Arab
Title
Managing Partner
Phone
(615) 478-5108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3960 Bell Rd Apt 602
Hermitage, TN 37076-2965

Mailing address

3960 Bell Rd Apt 602
Hermitage, TN 37076-2965
Phone (615) 478-5108

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1174767297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 BELL RD APT 602",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762965",
            "telephone_number": "615-478-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 BELL RD APT 602",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762965",
            "telephone_number": "615-478-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLICARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "ARAB",
        "authorized_official_first_name": "MILAD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "615-478-5108",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.