Tahoe Wound Care, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

07-3011 Issued in NV

Legal business name

TAHOE WOUND CARE, LLC

Practice address

865 Tahoe Blvd Ste 113
Incline Village, NV 89451-9449

Phone

(775) 832-7200

Fax

(775) 832-7201

NPI assigned

Aug 31, 2007

Last updated

Aug 31, 2007By 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

Mr. David I. Mittleman

Title

President and Owner

Phone

(775) 832-7200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1851585947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 TAHOE BLVD STE 113",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894519449",
            "telephone_number": "775-832-7200",
            "fax_number": "775-832-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 TAHOE BLVD STE 113",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894519449",
            "telephone_number": "775-832-7200",
            "fax_number": "775-832-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHOE WOUND CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "MITTLEMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "775-832-7200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "07-3011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• T Medical
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• Tahoe Forest Hospital District (IVCH Family Health Center RHC)
• Tahoe Forest Hospital District (Incline Village Community Hospital)
• Tahoe Speech Therapy LLC
• Tahoe Youth and Family Services
• Thomas F. Sheehan, PH.D.
• TVC LLC (The Veteran's Choice)
• Lori L Ugolik, D.C.
• Alyssa Ann Vacca

• Durable Medical Equipment & Medical Supplies in Incline Village, NV
• Providers in Incline Village, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.