NPIMap

Organization Active NPI

Medic Rental Inc

  • Durable Medical Equipment & Medical Supplies
  • Little Rock, AR
National Provider Identifier
1285749358
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
Practice address
12315 Chenal Pkwy Ste C
Little Rock, AR 72211-2764
Phone
(501) 664-6768
Fax
(501) 664-0074
NPI assigned
Aug 20, 2006
Last updated
Nov 8, 2024By the provider in NPPES
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 NU Primary

Addresses

Primary practice location

12315 Chenal Pkwy Ste C
Little Rock, AR 72211-2764

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
104330716MedicaidAR
48157OtherARBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930036370 AR DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Respiratory Therapist 2365569506 Practice locations: Little Rock, 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 Care12315 Chenal Pkwy, Little Rock, AR 72211-2764(501) 664-6768 Blood Glucose Monitors/Supplies (Mail Order)|Urological Supplies|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

12315 Chenal Pkwy
Ste C
Little Rock, AR 72211
Phone (501) 664-6768

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1285749358",
    "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": "501-664-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 CHENAL PKWY STE C",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112764",
            "telephone_number": "501-664-6768",
            "fax_number": "501-664-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIC RENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104330716",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "48157",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, 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.