Organization Active NPI

Cardiopulmonary Care Inc

Doing business as Goodcare by CPCI

  • Durable Medical Equipment & Medical Supplies
  • Logan, OH
National Provider Identifier
1770583288
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CARDIOPULMONARY CARE INC
Doing business as
Goodcare by CPCI
Practice address
140 E Main St
Logan, OH 43138-1328
Phone
(740) 385-6177
Fax
(740) 385-0474
NPI assigned
Jul 26, 2005
Last updated
Jul 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Authorized official

Name
Mr. Andrew Jay Good
Title
Ceo
Phone
(740) 385-6177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

140 E Main St
Logan, OH 43138-1328

Mailing address

PO Box 997
Logan, OH 43138-0997
Phone (740) 385-6177

Other identifiers 2

IdentifierTypeStateIssuer
400059OtherDEPT OF LABOR
0333740MedicaidOH

Other names 1

  • Goodcare by CPCI Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930007234 OH DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 7911023569 Practice locations: Logan, OH

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Goodcare by Cpci140 E Main St, Logan, OH 43138-1328(740) 385-6177 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (St… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

140 E Main St
Logan, OH 43138
Phone (740) 385-6177

450 State Route 664 N
Logan, OH 43138
Phone (740) 385-0919

999 W Hunter St
Logan, OH 43138

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1770583288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 997",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431380997",
            "telephone_number": "740-385-6177",
            "fax_number": "740-385-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E MAIN ST",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431381328",
            "telephone_number": "740-385-6177",
            "fax_number": "740-385-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOPULMONARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-385-6177",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "400059",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0333740",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodcare by CPCI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Goodcare by CPCI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Logan, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.

Verify at the official NPI Registry.