Organization Active NPI

Cresscare Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Newport, PA
National Provider Identifier
1720033830
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
3000007238 Issued in PA
Legal business name
CRESSCARE MEDICAL INC
Practice address
133 S 5TH St
Suite 100
Newport, PA 17074-1009
Phone
(717) 567-9114
Fax
(717) 567-7292
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Todd L Cressler
Title
Ceo
Phone
(717) 232-3188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 3000007238 PA Primary

Addresses

Primary practice location

133 S 5TH St
Suite 100
Newport, PA 17074-1009

Mailing address

1820 Linglestown Rd
Harrisburg, PA 17110-3339
Phone (717) 232-3188

Other identifiers 1

IdentifierTypeStateIssuer
100758155-0006MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Cresscare Medical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

133 S 5th St
Ste 100
Newport, PA 17074
Phone (717) 567-9114

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720033830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 LINGLESTOWN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103339",
            "telephone_number": "717-232-3188",
            "fax_number": "717-232-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 S 5TH ST",
            "address_2": "SUITE 100",
            "city": "NEWPORT",
            "state": "PA",
            "postal_code": "170741009",
            "telephone_number": "717-567-9114",
            "fax_number": "717-567-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESSCARE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRESSLER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-232-3188",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "3000007238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100758155-0006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.