Provider Care Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

015065287 Issued in MS

Legal business name

PROVIDER CARE INC.

Practice address

7505 Pines Rd
Suite 1190
Shreveport, LA 71129-3929

Phone

(318) 688-8107

Fax

(318) 686-0041

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. George Ron Guins

Title

President

Phone

(318) 688-8107

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1679614150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 PINES RD",
            "address_2": "SUITE 1190",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293929",
            "telephone_number": "318-688-8107",
            "fax_number": "318-686-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 PINES RD",
            "address_2": "SUITE 1190",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293929",
            "telephone_number": "318-688-8107",
            "fax_number": "318-686-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDER CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "GUINS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-688-8107",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "015065287",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "019017722",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440426",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Shreveport, LA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.