Organization Active NPI

Theracare

  • Customized Equipment (DME)
  • Fort Smith, AR
National Provider Identifier
1487949871
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
THERACARE
Practice address
10707 Saint Michael CT
Fort Smith, AR 72908-0993
Phone
(479) 629-1300
NPI assigned
Jun 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Authorized official

Name
Chriis Elkins
Title
Co Owner
Phone
(479) 629-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X AR Primary

Addresses

Primary practice location

10707 Saint Michael CT
Fort Smith, AR 72908-0993

Mailing address

10707 Saint Michael CT
Fort Smith, AR 72908-0993
Phone (479) 629-1300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1487949871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10707 SAINT MICHAEL CT",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729080993",
            "telephone_number": "479-629-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 SAINT MICHAEL CT",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729080993",
            "telephone_number": "479-629-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "ELKINS",
        "authorized_official_first_name": "CHRIIS",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "479-629-1300"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.