Active NPI
Medicor Homecare Inc
- Oxygen Equipment & Supplies (DME)
- Tampa, FL
National Provider Identifier
1598841579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 1723
- Legal business name
- MEDICOR HOMECARE INC
- Practice address
- 3403 W Waters Ave
Tampa, FL 33614-2765 - Phone
- (813) 930-8000
- Fax
- (813) 930-2131
- NPI assigned
- Oct 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manuel Delgado
- Title
- Administrator
- Phone
- (813) 930-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 1723 | FL | Primary |
Addresses
Primary practice location
3403 W Waters Ave
Tampa, FL 33614-2765
Mailing address
PO Box 850001
Orlando, FL 32885-0001
Phone (800) 250-4468
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266802 | Other | FL | AMERIGROUP PROVIDER NUMBE |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Doral, FL
- NPI 1730189523
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331164800000",
"number": "1598841579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 850001",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328850001",
"telephone_number": "800-250-4468",
"fax_number": "866-930-8001"
},
{
"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": "336142765",
"telephone_number": "813-930-8000",
"fax_number": "813-930-2131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICOR HOMECARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-31",
"last_updated": "2012-03-08",
"status": "A",
"authorized_official_last_name": "DELGADO",
"authorized_official_first_name": "MANUEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "813-930-8000"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "FL",
"license": "1723",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP PROVIDER NUMBE",
"identifier": "266802",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.