NPIMap

Organization Active NPI

Vitacare, LLC

  • Durable Medical Equipment & Medical Supplies
  • Ponca City, OK
National Provider Identifier
1265713960
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VITACARE, LLC
Practice address
3209 N 14TH St
Ponca City, OK 74601-1035
Phone
(580) 765-8159
Fax
(580) 765-8327
NPI assigned
Sep 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
Ralph Lawrence Roye
Title
Member
Phone
(580) 233-6502

Specialties & licenses 1

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

Addresses

Primary practice location

3209 N 14TH St
Ponca City, OK 74601-1035

Mailing address

2417 N. Van Buren
Enid, OK 73703
Phone (580) 233-6502

Other names 1

  • At Home Medical Former legal business name

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3209 N 14th St
Ponca City, OK 74601
Phone (580) 765-8159

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1265713960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 N. VAN BUREN",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73703",
            "telephone_number": "580-233-6502",
            "fax_number": "580-233-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011035",
            "telephone_number": "580-765-8159",
            "fax_number": "580-765-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITACARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "ROYE",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "580-233-6502"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Home Medical",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ponca City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.