NPIMap

Organization Active NPI

Medicor Homecare, Inc

Doing business as Medicor Healthcare

  • Durable Medical Equipment & Medical Supplies
  • Tampa, FL
National Provider Identifier
1508248543
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICOR HOMECARE, INC
Doing business as
Medicor Healthcare
Practice address
3403 W Waters Ave
Tampa, FL 33614-2713
Phone
(813) 930-8000
Fax
(813) 930-8026
NPI assigned
Jun 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Authorized official

Name
Manuel Delgado Jr.
Title
President
Phone
(813) 930-8000

Specialties & licenses 1

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

Addresses

Primary practice location

3403 W Waters Ave
Tampa, FL 33614-2713

Mailing address

3429 N Liberty St
Jacksonville, FL 32206-2221
Phone (904) 619-2433

Other names 1

  • Medicor Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medicor Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1508248543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 N LIBERTY ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322062221",
            "telephone_number": "904-619-2433",
            "fax_number": "904-619-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142713",
            "telephone_number": "813-930-8000",
            "fax_number": "813-930-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICOR HOMECARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-930-8000",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicor Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.