Organization Active NPI

Procare, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Meridian, ID
National Provider Identifier
1730379116
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DME22392 Issued in ID
Legal business name
PROCARE, INC.
Doing business as
ProCare Medical Equipment
Practice address
573 S Locust Grove Rd
Meridian, ID 83642-4739
Phone
(208) 322-5055
Fax
(208) 322-8033
NPI assigned
Jul 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Christopher Hunt
Title
President
Phone
(208) 345-8201

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 003258369-S ID
Durable Medical Equipment & Medical Supplies 332B00000X DME22392 ID Primary

Addresses

Primary practice location

573 S Locust Grove Rd
Meridian, ID 83642-4739

Mailing address

573 S Locust Grove Rd
Meridian, ID 83642-4739
Phone (208) 322-5055

Other practice location 1

2335 Eldridge Ave Ste 200
Twin Falls, ID 83301-8277
Phone (208) 322-5055

Other names 1

  • ProCare Medical Equipment Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140207000128 ID DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 4688803943 Practice locations: Meridian, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Procare Medical Equipment Inc573 S Locust Grove Rd, Meridian, ID 83642-4739(208) 322-5055 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcut… Does not accept assignmentParticipating since Jan 30, 2014

National Provider Directory

National Provider Directory

Locations

195 S Adkins Way
Ste 107
Meridian, ID 83642
Phone (208) 322-5055

573 S Locust Grove Rd
Meridian, ID 83642
Phone (208) 322-5055

2335 Eldridge Ave
Ste 200
Twin Falls, ID 83301
Phone (208) 322-5055

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1730379116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 S LOCUST GROVE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424739",
            "telephone_number": "208-322-5055",
            "fax_number": "208-322-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 S LOCUST GROVE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424739",
            "telephone_number": "208-322-5055",
            "fax_number": "208-322-8033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2335 Eldridge Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833018277",
            "country_code": "US",
            "telephone_number": "208-322-5055",
            "fax_number": "208-322-8033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-345-8201"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ID",
            "license": "003258369-S",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ID",
            "license": "DME22392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProCare Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.