Active NPI
Wincare, Inc.
- Durable Medical Equipment & Medical Supplies
- Rocky Mount, NC
National Provider Identifier
1659319325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WINCARE, INC.
- Practice address
- 1558 S. Winstead Ave
Rocky Mount, NC 27803-1650 - Phone
- (252) 937-2080
- Fax
- (252) 937-4660
- NPI assigned
- Jun 3, 2006
- Reactivated
- Jul 15, 2021
- 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
- Ms. Amy L Ruddick
- Title
- General Manager
- Phone
- (252) 937-2080
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Adult Health Nurse Practitioner | 363LA2200X |
Addresses
Primary practice location
1558 S. Winstead Ave
Rocky Mount, NC 27803-1650
Mailing address
PO Box 7276
Rocky Mount, NC 27804-0276
Phone (252) 937-2080
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0467F | Other | BLUE CROSS BLUE SHIELD FEDERAL | |
| 100347340A | Medicaid | KS | |
| 7586819301 | Medicaid | KS | |
| 7702534 | Medicaid | NC | |
| 009107231 | Medicaid | VA | |
| 0467F | Other | NC | BLUE CROSS BLUE SHIELD OF NC |
| 263113 | Other | VA | ANTHEM BLUE CROSS BLUE SH |
| 0467F | Other | BLUE CROSS BLUE SHIELD FE | |
| DM1152 | Medicaid | SC | |
| 0467F | Other | NC | BLUE CROSS BLUE SHIELD |
| 0467F | Other | NC | STATE OF NC TEACHERS AND |
| 263113 | Other | VA | ANTHEM BLUE CROSS BLUE SHIELD OF VA |
| 0467F | Other | NC | STATE OF NC TEACHERS AND STATE EMPLOYEES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930042670 | NC | DME Supplier - Medical Supply Company | 0648312926 | Practice locations: Rocky Mount, NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Wincare, Inc. | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Pneumatic Compression Devices and/or Supplies|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Ostomy Supplies|Tracheotomy Supplie… | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1558 S Winstead Ave
Rocky Mount, NC 27803
Phone (252) 937-2080
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Wake Forest, NC
- NPI 1588848758
-
- Family Nurse Practitioner
- Wilson, NC
- NPI 1801947783
-
- Adult Health Nurse Practitioner
- Greensboro, NC
- NPI 1467693846
-
- Psychiatric/Mental Health Nurse Practitioner
- Hogansburg, NY
- NPI 1629113683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682294400000",
"number": "1659319325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7276",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278040276",
"telephone_number": "252-937-2080",
"fax_number": "252-937-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1558 S. WINSTEAD AVE",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278031650",
"telephone_number": "252-937-2080",
"fax_number": "252-937-4660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"deactivation_date": "2021-06-30",
"reactivation_date": "2021-07-15",
"status": "A",
"authorized_official_last_name": "RUDDICK",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "252-937-2080",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD FEDERAL",
"identifier": "0467F",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100347340A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7586819301",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7702534",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009107231",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF NC",
"identifier": "0467F",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "263113",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD FE",
"identifier": "0467F",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DM1152",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0467F",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NC TEACHERS AND",
"identifier": "0467F",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SHIELD OF VA",
"identifier": "263113",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NC TEACHERS AND STATE EMPLOYEES",
"identifier": "0467F",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.