Active NPI
Procare-B, LLC
- Durable Medical Equipment & Medical Supplies
- Dededo, GU
National Provider Identifier
1730836636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.