Organization Active NPI

Procare-B, LLC

  • Durable Medical Equipment & Medical Supplies
  • Dededo, GU
National Provider Identifier
1730836636
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PROCARE-B, LLC
Practice address
138 Kayen Chando
Dededo, GU 96929-5900
Phone
(671) 632-7000
Fax
(671) 632-7001
NPI assigned
Mar 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Mrs. Tania Ramos
Title
Business Development Officer
Phone
(671) 632-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

138 Kayen Chando
Dededo, GU 96929-5900

Mailing address

PO Box 11864
Tamuning, GU 96931-1864
Phone (671) 632-7000

National Provider Directory

National Provider Directory

Locations

138 Kayen Chando
Dededo, GU 96929
Phone (671) 632-8100

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1730836636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11864",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969311864",
            "telephone_number": "671-632-7000",
            "fax_number": "671-632-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 KAYEN CHANDO",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969295900",
            "telephone_number": "671-632-7000",
            "fax_number": "671-632-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE-B, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "BUSINESS DEVELOPMENT OFFICER",
        "authorized_official_telephone_number": "671-632-7000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dededo, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.