Organization Active NPI

Medic Rental Inc

  • Durable Medical Equipment & Medical Supplies
  • Fayetteville, AR
National Provider Identifier
1235696543
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDIC RENTAL INC
Doing business as
Medic Sleep Care
Practice address
3533 N Shiloh Dr Ste 4
Fayetteville, AR 72703-5317
Phone
(479) 249-6381
Fax
(479) 439-4098
NPI assigned
Feb 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Amanda McNabb
Title
President
Phone
(501) 428-0074

Specialties & licenses 1

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

Addresses

Primary practice location

3533 N Shiloh Dr Ste 4
Fayetteville, AR 72703-5317

Mailing address

2821 Kavanaugh Blvd Ste 3a
Little Rock, AR 72205-3868
Phone (501) 664-6768

Other names 1

  • Medic Sleep Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190617003259 AR DME Supplier - Medical Supply Company With Respiratory Therapist 2365569506 Practice locations: Fayetteville, AR

Other NPIs with the same Medicare PAC ID 6

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

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Medic Sleep Care3533 N Shiloh Dr, Fayetteville, AR 72703-5317(479) 249-6381 Continuous Positive Airway Pressure (CPAP) Devices|Respiratory Assist Devices Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Medic Rental Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

3533 N Shiloh Dr
Ste 4
Fayetteville, AR 72703
Phone (479) 249-6381

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1235696543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 KAVANAUGH BLVD STE 3A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053868",
            "telephone_number": "501-664-6768",
            "fax_number": "501-664-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 N SHILOH DR STE 4",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035317",
            "telephone_number": "479-249-6381",
            "fax_number": "479-439-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIC RENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2024-11-08",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "MCNABB",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-428-0074"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medic Sleep Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medic Sleep Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.