Organization Active NPI

Caresource Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Plano, TX
National Provider Identifier
1669653929
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CARESOURCE INCORPORATED
Practice address
4020 Oakmeadow Dr
Plano, TX 75093-8538
Phone
(888) 360-3397
Fax
(866) 458-0728
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Mrs. Nova Baker
Title
Owner
Phone
(888) 360-3397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4020 Oakmeadow Dr
Plano, TX 75093-8538

Mailing address

4020 Oakmeadow Dr
Plano, TX 75093-8538
Phone (888) 360-3397

National Provider Directory

National Provider Directory

Locations

7552 Main St
Ste 101
The Colony, TX 75056
Phone (888) 360-3397

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1669653929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 OAKMEADOW DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938538",
            "telephone_number": "888-360-3397",
            "fax_number": "866-458-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 OAKMEADOW DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938538",
            "telephone_number": "888-360-3397",
            "fax_number": "866-458-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESOURCE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "NOVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-360-3397",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.