Organization Active NPI

Caring Medical Distributors Inc

  • Durable Medical Equipment & Medical Supplies
  • Minneapolis, MN
National Provider Identifier
1689908287
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
N814177903613 Issued in MN
Legal business name
CARING MEDICAL DISTRIBUTORS INC
Practice address
2601 Bloomington Ave
Minneapolis, MN 55407-1137
Phone
(612) 987-1120
Fax
(612) 872-1550
NPI assigned
Sep 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Authorized official

Name
Mohamed Kodah
Title
Manager
Phone
(612) 987-1120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X N814177903613 MN Primary

Addresses

Primary practice location

2601 Bloomington Ave
Minneapolis, MN 55407-1137

Mailing address

2601 Bloomington Ave
Minneapolis, MN 55407-1137
Phone (612) 987-1120

Other names 1

  • PRAIRIE HOME HEALTH CARE LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

2601 Bloomington Ave
Minneapolis, MN 55407
Phone (612) 987-1120

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1689908287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 BLOOMINGTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071137",
            "telephone_number": "612-987-1120",
            "fax_number": "612-872-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 BLOOMINGTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071137",
            "telephone_number": "612-987-1120",
            "fax_number": "612-872-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING MEDICAL DISTRIBUTORS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "KODAH",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-987-1120"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "N814177903613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRAIRIE HOME HEALTH CARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.