Promedcare Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

001-011062916 Issued in NE

Legal business name

PROMEDCARE INC

Practice address

426 E 22ND St
Fremont, NE 68025-2633

Phone

(402) 727-7900

Fax

(402) 727-7904

NPI assigned

Sep 5, 2011

Last updated

Jan 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany FoxhovenNPI 1952119349

Title

Owner/VP

Phone

(402) 727-7900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These 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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany Foxhoven

  • Personal Care Attendant
  • Fremont, NE
  • NPI 1952119349
  Authorized official Same address or phone

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

{
    "created_epoch": "1315180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1659652600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 E 22ND ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252633",
            "telephone_number": "402-727-7900",
            "fax_number": "402-727-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 E 22ND ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252633",
            "telephone_number": "402-727-7900",
            "fax_number": "402-727-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-05",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "FOXHOVEN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER/VP",
        "authorized_official_telephone_number": "402-727-7900"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NE",
            "license": "001-011062916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11689277",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Preston, LICSW, LIMHP, LADC
• Samantha Prichard, PA
• Priscilla Wilson, LMHP, NCC
• Professional Hearing Center, PC
• Professional Hearing Ctr PC
• Promedcare, Inc.
• Nicole Pronske, RN
• John C Puente, M.D.
• Falon Pulfer, DDS
• Kellie Ann Quinlin

• Oxygen Equipment & Supplies (DME) in Fremont, NE
• Providers in Fremont, NE by specialty
• Oxygen Equipment & Supplies (DME) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.

Verify at the official NPI Registry.