NPIMap

Organization Active NPI

Caring Wounds LLC

  • Primary Care Clinic/Center
  • Farmington, MO
National Provider Identifier
1760032965
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CARING WOUNDS LLC
Practice address
530 N Middle St
Farmington, MO 63640-1570
Phone
(660) 707-3059
NPI assigned
Sep 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Fernando Borrego
Title
Director
Phone
(573) 783-8875

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X
Podiatric Clinic/Center 261QP1100X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

530 N Middle St
Farmington, MO 63640-1570

Mailing address

733 W Main St
Fredericktown, MO 63645-1113

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200611002865 MO Part B Supplier - Clinic/Group Practice 8022430438 Receives reassigned benefits from 2 practitioners
Practice locations: Farmington, MO

National Provider Directory

National Provider Directory

Locations

733 W Main St
Fredericktown, MO 63645
Phone (314) 783-5528

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1760032965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 W MAIN ST",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "636451113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N MIDDLE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401570",
            "telephone_number": "660-707-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING WOUNDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "BORREGO",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "573-783-8875"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.