Active NPI
Ritecare Medical Supply Incorporated
- Parenteral & Enteral Nutrition Supplies (DME)
- Allen, TX
National Provider Identifier
1861426801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- License
- 0056215
- Legal business name
- RITECARE MEDICAL SUPPLY INCORPORATED
- Practice address
- 717 S Greenville Ave Ste 102
Allen, TX 75002-3318 - Phone
- (972) 396-0871
- Fax
- (972) 396-2032
- NPI assigned
- Jul 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Martin Oliver Etim
- Title
- President/Ceo
- Phone
- (972) 396-0871
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 0056215 | TX | Primary |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 0056215 | TX |
Addresses
Primary practice location
717 S Greenville Ave Ste 102
Allen, TX 75002-3318
Mailing address
717 S Greenville Ave Ste 102
Allen, TX 75002-3318
Phone (972) 396-0871
National Provider Directory
National Provider DirectoryLocations
105 N Greenville Ave
Ste 12
Allen, TX 75002
Phone (972) 396-0871
717 S Greenville Ave
Ste 102
Allen, TX 75002
Phone (972) 396-0871
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Durable Medical Equipment & Medical Supplies
- Sherman, TX
- NPI 1770920605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289952000000",
"number": "1861426801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 S GREENVILLE AVE STE 102",
"city": "ALLEN",
"state": "TX",
"postal_code": "750023318",
"telephone_number": "972-396-0871",
"fax_number": "972-396-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 S GREENVILLE AVE STE 102",
"city": "ALLEN",
"state": "TX",
"postal_code": "750023318",
"telephone_number": "972-396-0871",
"fax_number": "972-396-2032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RITECARE MEDICAL SUPPLY INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2010-11-17",
"status": "A",
"authorized_official_last_name": "ETIM",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "OLIVER",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "972-396-0871",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "TX",
"license": "0056215",
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "TX",
"license": "0056215",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.