Quality Care Medical Equipment and Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

QUALITY CARE MEDICAL EQUIPMENT AND SUPPLIES

Practice address

1379 Old Bridge Rd
Woodbridge, VA 22192-2710

Phone

(703) 492-3696

Fax

(703) 492-9796

NPI assigned

May 28, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin Mangomo

Title

Owner

Phone

(703) 492-9696

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790996999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 OLD BRIDGE RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922710",
            "telephone_number": "703-492-3696",
            "fax_number": "703-492-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1379 OLD BRIDGE RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922710",
            "telephone_number": "703-492-3696",
            "fax_number": "703-492-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE MEDICAL EQUIPMENT AND SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANGOMO",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-492-9696"
    },
    "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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• Durable Medical Equipment & Medical Supplies in Woodbridge, VA
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• Durable Medical Equipment & Medical Supplies in Virginia

• 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.