Organization Active NPI

Pulmocare Respiratory Services, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Las Vegas, NV
National Provider Identifier
1801168018
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
MP00661/MP00837 Issued in NV
Legal business name
PULMOCARE RESPIRATORY SERVICES, INC.
Practice address
2675 E Patrick LN Ste 11
Las Vegas, NV 89120-2437
Phone
(888) 785-6622
NPI assigned
Feb 2, 2012
Last updated
May 5, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PULMOCARE RESPIRATORY SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Mr. Bruce E Gingles
Title
Ceo
Phone
(888) 785-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X MP00661/MP00837 NV Primary

Addresses

Primary practice location

2675 E Patrick LN Ste 11
Las Vegas, NV 89120-2437

Mailing address

PO Box 721
Colton, CA 92324-0721
Phone (888) 785-6622

Other identifiers 1

IdentifierTypeStateIssuer
1093761611OtherCAMEDICARE NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121204000172 NV DME Supplier - Medical Supply CompanyDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 1355462656 Practice locations: Las Vegas, NV

Other NPIs with the same Medicare PAC ID 1

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

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
Pulmocare Respiratory Services2675 E Patrick LN, Las Vegas, NV 89120-2437(909) 777-5000 Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Tracheotomy Supplies|Continuous Positive Airway P… Accepts assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory
Tax ID family
Pulmocare Respiratory S6 organizations share this tax ID, including this one
Part of
Pulmocare Respiratory S

Other organizations with this tax ID 5

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

Locations

25837 Business Center Dr
Ste A
Redlands, CA 92374
Phone (909) 777-5000

2675 E Patrick Ln
Ste 11
Las Vegas, NV 89120
Phone (702) 476-1520

2675 E Patrick Ln
Ste 7
Las Vegas, NV 89120

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1801168018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923240721",
            "telephone_number": "888-785-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 E PATRICK LN STE 11",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202437",
            "telephone_number": "888-785-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMOCARE RESPIRATORY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PULMOCARE RESPIRATORY SERVICES, INC.",
        "enumeration_date": "2012-02-02",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "GINGLES",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-785-6622",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NV",
            "license": "MP00661/MP00837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1093761611",
            "state": "CA"
        }
    ],
    "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 May 5, 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.