Organization Active NPI

Adult Care Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Cape Coral, FL
National Provider Identifier
1649919945
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADULT CARE SUPPLY, LLC
Practice address
1315 NW 11TH St
Cape Coral, FL 33993-6055
Phone
(239) 339-7852
NPI assigned
Jun 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Authorized official

Name
Teresa Pourkay
Title
Owner
Phone
(239) 339-7852

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Nursing Facility Supplies (DME) 332BN1400X

Addresses

Primary practice location

1315 NW 11TH St
Cape Coral, FL 33993-6055

Mailing address

1315 NW 11TH St
Cape Coral, FL 33993-6055
Phone (239) 339-7852

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1649919945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 NW 11TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339936055",
            "telephone_number": "239-339-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 NW 11TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339936055",
            "telephone_number": "239-339-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT CARE SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "POURKAY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-339-7852"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.