Procare Direct LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROCARE DIRECT LLC

Doing business as

Procare Direct

Practice address

1189 S 1680 W
Orem, UT 84058-5419

Phone

(801) 709-7080

Fax

(888) 209-4417

NPI assigned

Aug 16, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Mark Latham

Title

Managing Member

Phone

(801) 709-7080

Specialties & licenses 1

Addresses

Other names 1

• PROCARE DIRECT Doing business as

Locations

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1710266150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S STATE ST",
            "address_2": "#602",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585419",
            "telephone_number": "801-709-7080",
            "fax_number": "888-209-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 S 1680 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585419",
            "telephone_number": "801-709-7080",
            "fax_number": "888-209-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE DIRECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "LATHAM",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-709-7080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROCARE DIRECT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Orem, UT
• Providers in Orem, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.