Organization Active NPI

Neurocare USA Limited, LLC

  • Customized Equipment (DME)
  • Salem, OR
National Provider Identifier
1396174694
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
1569794-3 Issued in OR
Legal business name
NEUROCARE USA LIMITED, LLC
Practice address
6252 Skyline Rd S
Salem, OR 97306-9405
Phone
(503) 371-6605
Fax
(503) 763-8727
NPI assigned
Nov 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Mr. Thomas Glen Oliver Sr.
Title
President
Phone
(503) 371-6605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 1569794-3 OR Primary

Addresses

Primary practice location

6252 Skyline Rd S
Salem, OR 97306-9405

Mailing address

6252 Skyline Rd S
Salem, OR 97306-9405
Phone (503) 371-6605

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1396174694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6252 SKYLINE RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069405",
            "telephone_number": "503-371-6605",
            "fax_number": "503-763-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6252 SKYLINE RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069405",
            "telephone_number": "503-371-6605",
            "fax_number": "503-763-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCARE USA LIMITED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-371-6605",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OR",
            "license": "1569794-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.