Medcare Life LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

08018232 Issued in AL

Legal business name

MEDCARE LIFE LLC

Practice address

2517 30TH Ave North
Birmingham, AL 35207

Phone

(205) 251-1239

Fax

(205) 251-1066

NPI assigned

Sep 29, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Marcus Eugene Pickett, DIRTRICT SALES MGR

Title

Ceo

Phone

(205) 251-1239

Specialties & licenses 1

Addresses

Other names 1

• MedCare Life llc Former legal business name

Locations

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1629228564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 30TH AVE NORTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35207",
            "telephone_number": "205-251-1239",
            "fax_number": "205-251-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 30TH AVE NORTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35207",
            "telephone_number": "205-251-1239",
            "fax_number": "205-251-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-251-1239",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DIRTRICT SALES MGR"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "08018232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedCare Life llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.