1 Care Premier Medical Supply

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

1 CARE PREMIER MEDICAL SUPPLY

Practice address

18318 Enchanted Rock TRL
Humble, TX 77346-3409

Phone

(713) 594-0469

Fax

(713) 583-0900

NPI assigned

Jun 17, 2022

Organization subpart

No

Name

Nicole MaysNPI 1215370747

Title

Owner

Phone

(713) 594-0469

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Mays

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Houston, TX
  • NPI 1215370747
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 17, 2022.

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1295465615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18318 ENCHANTED ROCK TRL",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463409",
            "telephone_number": "713-594-0469",
            "fax_number": "713-583-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18318 ENCHANTED ROCK TRL",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463409",
            "telephone_number": "713-594-0469",
            "fax_number": "713-583-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1 CARE PREMIER MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "MAYS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-594-0469"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 111 Ave B LLC
• 20-20 Express--Houston LLC
• 5 - Star Living, LLC
• 5 - Star Luxury Living
• A & a Respiratory & Medical Supply Inc

• All providers in Humble, TX
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.