Clinicare Medical Resources, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

HME 1103 Issued in FL

Legal business name

CLINICARE MEDICAL RESOURCES, INC.

Practice address

171 US Highway 98
Suite F
Eastpoint, FL 32328-3313

Phone

(850) 670-5555

Fax

(850) 670-5559

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Allen Price

Title

President

Phone

(813) 935-1341

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Clinicare Home Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Clinicare Medical Resources, Inc.

  • Prosthetic/Orthotic Supplier
  • Tampa, FL
  • NPI 1154493203

  5294855458

  Same PAC ID
• Clinicare Medical Resources, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Eastpoint, FL
  • NPI 1427120351

  5294855458

  Same PAC ID

Tax ID family

Clinicare Medical Resources Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Clinicare Medical Resources, Inc.

  • Prosthetic/Orthotic Supplier
  • Tampa, FL
  • NPI 1154493203
  NPD tax ID
• Clinicare Medical Resources, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Eastpoint, FL
  • NPI 1427120351
  NPD tax ID

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1770655607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 LAZY LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141595",
            "telephone_number": "813-935-1341",
            "fax_number": "813-935-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 US HIGHWAY 98",
            "address_2": "SUITE F",
            "city": "EASTPOINT",
            "state": "FL",
            "postal_code": "323283313",
            "telephone_number": "850-670-5555",
            "fax_number": "850-670-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICARE MEDICAL RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-935-1341",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "HME 1103",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "HME 1103",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "ORF 167",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108079500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinicare Home Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clinicare Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Doris M Carmichael, ARNP
• Clinicare Medical Resources, Inc.
• Stephanie Nicole Cook, RN
• Dr Zoe Segree DC PA
• Forgotten Coast Healing Center Inc
• Jennifer Lynn Klingmann, LMT
• Shelley Kay McLean, LMT

• All providers in Eastpoint, FL
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.