NPIMap

Organization Active NPI

Home Care Medical, Inc

  • Durable Medical Equipment & Medical Supplies
  • New Berlin, WI
National Provider Identifier
1770635609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
220146 Issued in WI
Legal business name
HOME CARE MEDICAL, INC
Practice address
2604 S 162ND St
New Berlin, WI 53151-2810
Phone
(262) 786-9870
Fax
(262) 901-0447
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Teevan
Title
President
Phone
(262) 786-9870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 220146 WI Primary

Addresses

Primary practice location

2604 S 162ND St
New Berlin, WI 53151-2810

Mailing address

5665 S Westridge Dr
Suite 100
New Berlin, WI 53151-7954
Phone (262) 786-9870

National Provider Directory

National Provider Directory
Tax ID family
Homecare Medical Suppli5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

2604 S 162nd St
New Berlin, WI 53151
Phone (262) 786-9870

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770635609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 S WESTRIDGE DR",
            "address_2": "SUITE 100",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517954",
            "telephone_number": "262-786-9870",
            "fax_number": "262-786-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 S 162ND ST",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531512810",
            "telephone_number": "262-786-9870",
            "fax_number": "262-901-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEEVAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-786-9870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "220146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.