Organization Active NPI

Tru-Care Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Novato, CA
National Provider Identifier
1316982127
Registry record updated Jan 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
52474 Issued in CA
Legal business name
TRU-CARE MEDICAL SUPPLIES, INC.
Practice address
1559 S Novato Blvd
Suite D
Novato, CA 94947-4141
Phone
(415) 209-6971
Fax
(415) 209-6974
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2011

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

Authorized official

Name
Mr. William L. Fournier
Title
President
Phone
(415) 209-6971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 52474 CA Primary

Addresses

Primary practice location

1559 S Novato Blvd
Suite D
Novato, CA 94947-4141

Mailing address

1559 S Novato Blvd
Suite D
Novato, CA 94947-4141
Phone (415) 209-6971

Other identifiers 1

IdentifierTypeStateIssuer
DME03311FMedicaidCA

National Provider Directory

National Provider Directory

Locations

1559 S Novato Blvd
Ste D
Novato, CA 94947
Phone (415) 209-6971

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294444800000",
    "number": "1316982127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 S NOVATO BLVD",
            "address_2": "SUITE D",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474141",
            "telephone_number": "415-209-6971",
            "fax_number": "415-209-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 S NOVATO BLVD",
            "address_2": "SUITE D",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474141",
            "telephone_number": "415-209-6971",
            "fax_number": "415-209-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRU-CARE MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2011-01-08",
        "status": "A",
        "authorized_official_last_name": "FOURNIER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-209-6971",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "52474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03311F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2011; 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.