Pride Care Medical Equipment and Mobility LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRIDE CARE MEDICAL EQUIPMENT AND MOBILITY LLC

Practice address

11759 W 86TH Ter
Lenexa, KS 66214

Phone

(913) 271-5989

NPI assigned

Mar 10, 2016

Organization subpart

No

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

Authorized official

Name

Randall Penegar, R.R.T.

Title

Owner

Phone

(913) 271-5989

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1760843346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15618 PEBBLE TER",
            "city": "BASEHOR",
            "state": "KS",
            "postal_code": "660079313",
            "telephone_number": "913-271-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11759 W 86TH TER",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66214",
            "telephone_number": "913-271-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE CARE MEDICAL EQUIPMENT AND MOBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "PENEGAR",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-271-5989",
        "authorized_official_credential": "R.R.T."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.