Active NPI
94 Ventures, LLC
Doing business as Ultra Care DME
- Durable Medical Equipment & Medical Supplies
- Mission, TX
National Provider Identifier
1184496168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- 94 VENTURES, LLC
- Doing business as
- Ultra Care DME
- Practice address
- 713 N Bentsen Palm Dr Ste H
Mission, TX 78574-3797 - Phone
- (956) 591-7677
- NPI assigned
- Oct 24, 2023
- Last updated
- Oct 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miguel A Gonzalez
- Title
- Managing Member
- Phone
- (956) 591-7677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
713 N Bentsen Palm Dr Ste H
Mission, TX 78574-3797
Mailing address
713 N Bentsen Palm Dr Ste H
Mission, TX 78574-3797
Phone (956) 591-7677
Other names 1
- Ultra Care DME
National Provider Directory
National Provider DirectoryLocations
713 N Bentsen Palm Dr
Ste H
Palmview, TX 78574
Phone (956) 519-3400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698105600000",
"number": "1184496168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 N BENTSEN PALM DR STE H",
"city": "MISSION",
"state": "TX",
"postal_code": "785743797",
"telephone_number": "956-591-7677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 N BENTSEN PALM DR STE H",
"city": "MISSION",
"state": "TX",
"postal_code": "785743797",
"telephone_number": "956-591-7677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "94 VENTURES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-24",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "MIGUEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "956-591-7677"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ultra Care DME",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.