Active NPI
Convacare Services Inc.
- Durable Medical Equipment & Medical Supplies
- Bloomington, IN
National Provider Identifier
1750445722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CONVACARE SERVICES INC.
- Practice address
- 2599 W Fountain Dr
Bloomington, IN 47404-2782 - Phone
- (812) 323-2170
- Fax
- (812) 323-2627
- NPI assigned
- Dec 21, 2006
- Last updated
- Oct 9, 2025
- 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
- Jeffrey Barnhard, AO
- Title
- Ceo
- Phone
- (727) 530-7700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
2599 W Fountain Dr
Bloomington, IN 47404-2782
Mailing address
19387 US Highway 19 N
Clearwater, FL 33764-3102
Phone (727) 431-8110
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000849153A | Medicaid | GA | |
| 90032343 | Medicaid | KY | |
| 009942006 | Medicaid | AL | |
| 2005118 | Medicaid | OH | |
| 100279050A | Medicaid | IN | |
| 4582408 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930063855 | IN | DME Supplier - Medical Supply Company | 7012035710 | Practice locations: Bloomington, IN |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Convacare Services Inc | Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (… | Does not accept assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
2599 W Fountain Dr
Bloomington, IN 47404
Phone (812) 323-2170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759968000000",
"number": "1750445722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19387 US HIGHWAY 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337643102",
"telephone_number": "727-431-8110",
"fax_number": "877-524-9504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2599 W FOUNTAIN DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474042782",
"telephone_number": "812-323-2170",
"fax_number": "812-323-2627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONVACARE SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A",
"authorized_official_last_name": "BARNHARD",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "727-530-7700",
"authorized_official_credential": "AO"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000849153A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90032343",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009942006",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2005118",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100279050A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4582408",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.