NPIMap

Organization Active NPI

Procare Medical,Inc.

  • Oxygen Equipment & Supplies (DME)
  • Bentonville, AR
National Provider Identifier
1730204199
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
PROCARE MEDICAL,INC.
Practice address
1406 S Walton Blvd
Suite 15
Bentonville, AR 72712-6626
Phone
(866) 883-3453
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Mrs. Shandala Nicole Smith
Title
Officer
Phone
(866) 883-3453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

1406 S Walton Blvd
Suite 15
Bentonville, AR 72712-6626

Mailing address

1406 S Walton Blvd
Suite 15
Bentonville, AR 72712-6626
Phone (866) 883-3453

National Provider Directory

National Provider Directory
Tax ID family
Procare Medicalinc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1406 S Walton Blvd
Ste 15
Bentonville, AR 72712
Phone (866) 883-3453

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1730204199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 S WALTON BLVD",
            "address_2": "SUITE 15",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126626",
            "telephone_number": "866-883-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 S WALTON BLVD",
            "address_2": "SUITE 15",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126626",
            "telephone_number": "866-883-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE MEDICAL,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHANDALA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "866-883-3453",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.