3 C Healthcare, LLC | NPI 1740425933

Key facts

NPI: 1740425933
Entity type: Organization (NPI type 2)
Primary specialty: Oxygen Equipment & Supplies (DME) 332BX2000X
License: 0107831 (TX)
Legal business name: 3 C HEALTHCARE, LLC
Practice address: 3700 Westway St
Tyler, TX 75703-6464
Phone: (903) 597-4363
Fax: (903) 526-7617
NPI assigned: Dec 3, 2008
Organization subpart: No

Authorized official

Name: Judson Sturdivant
Title: Owner
Phone: (512) 697-9896

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

3 C Healthcare, LLC Oxygen Equipment & Supplies (DME) · Kyle, TX · NPI 1801540596

Same PAC ID 1456550730

Corporate family (same tax ID) 1

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

3 C Healthcare, LLC Oxygen Equipment & Supplies (DME) · Kyle, TX · NPI 1801540596

NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Judson Sturdivant Customized Equipment (DME) · Kyle, TX · NPI 1417503798

NPD

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

Supplier	Supplies	Medicare assignment
Weaver Home Medical 3700 Westway St, Tyler, TX 75703-6464 · 9035974363107	Commodes, Urinals, Bedpans\|Heat & Cold Applications\|Hospital Beds (Electric)\|Hospital Beds (Manual)\|Support Surfaces: Pressure Reducing Beds/Mats/Pads\|Canes and/or Crutches\|Patient Lifts\|Power Operated Vehicles (Scooters)\|Seat Lift Mechanisms\|Walkers\|Wheelchairs (Standard Manual)\|Wheelchairs (Stand…	Does not accept assignment Participating since Aug 21, 2009

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20100930069106	TX	DME Supplier - Medical Supply Company With Respiratory Therapist DME Supplier - Medical Supply Company DME Supplier - Oxygen & Equipment	1456550730	Practice locations: Tyler, TX

National Provider Directory

Tax ID family: 3 C Healthcare LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Oxygen Equipment & Supplies (DME)	332BX2000X	0107831	TX	Yes

Addresses

Primary practice location

3700 Westway St
Tyler, TX 75703-6464

Mailing address

PO Box 130008
Tyler, TX 75713-0008
Phone (512) 697-9896

Other names

Weaver Home Medical Doing business as

Other providers in Tyler, TX

All providers in Tyler, TX · Oxygen Equipment & Supplies (DME) in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.