Med-Care Supplies, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MED-CARE SUPPLIES, LLC

Practice address

4700 Walden LN Ste B
Lanham, MD 20706-4848

Phone

(410) 970-2949

NPI assigned

Aug 20, 2020

Reactivated

Jul 11, 2023

Last updated

Sep 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elias G DemozNPI 1518937473

Title

Authorized Official

Phone

(703) 321-6396

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elias G Demoz, MD

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1518937473
  NPD (past) Authorized official

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1356953319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WALDEN LN STE B",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064848",
            "telephone_number": "410-970-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WALDEN LN STE B",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064848",
            "telephone_number": "410-970-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-CARE SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "deactivation_date": "2023-06-21",
        "reactivation_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "DEMOZ",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "703-321-6396"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Lanham, MD
• Providers in Lanham, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.