Procare Medical Supplies, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROCARE MEDICAL SUPPLIES, LLC

Practice address

S93W31636 Gena Dr
Mukwonago, WI 53149-8273

Phone

(414) 254-4020

NPI assigned

May 14, 2009

Last updated

May 14, 2009By 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

Mr. Ronald H Lambert Jr.

Title

Owner

Phone

(414) 254-4020

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1700010097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S93W31636 GENA DR",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531498273",
            "telephone_number": "414-254-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S93W31636 GENA DR",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531498273",
            "telephone_number": "414-254-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-254-4020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda M. Phillips, FNP-C
• Shelley A.. Pignet, APNP
• Andrea L Pollpeter, APNP
• Kathryn Mary Popa, PT
• Pro Hearing Care LLC
• Prohealth Medical Group Inc
• Purity Dialysis Centers, Inc (Mukwonago Dialysis Center)
• Renee Sannes Puza, RN
• Real Healthcare
• Chad Andrew Rechcygl, D.C.

• Durable Medical Equipment & Medical Supplies in Mukwonago, WI
• Providers in Mukwonago, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.