NPIMap

Organization Active NPI

Pro-Care Medical

  • Oxygen Equipment & Supplies (DME)
  • Las Vegas, NV
National Provider Identifier
1780701714
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
PRO-CARE MEDICAL
Practice address
4420 Arville St
Suite #39
Las Vegas, NV 89103-3742
Phone
(702) 740-4138
Fax
(702) 740-4153
NPI assigned
Mar 23, 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. Charles Sinclair Holtzclaw
Title
Operations Manger
Phone
(702) 740-4138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X NV Primary

Addresses

Primary practice location

4420 Arville St
Suite #39
Las Vegas, NV 89103-3742

Mailing address

4420 Arville St
Suite #39
Las Vegas, NV 89103-3742
Phone (702) 740-4138

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780701714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 ARVILLE ST",
            "address_2": "SUITE #39",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033742",
            "telephone_number": "702-740-4138",
            "fax_number": "702-740-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 ARVILLE ST",
            "address_2": "SUITE #39",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033742",
            "telephone_number": "702-740-4138",
            "fax_number": "702-740-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-CARE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLTZCLAW",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "SINCLAIR",
        "authorized_official_title_or_position": "OPERATIONS MANGER",
        "authorized_official_telephone_number": "702-740-4138",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

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.