Allcare Medical Supply Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ALLCARE MEDICAL SUPPLY CORPORATION

Practice address

30 Grafton St
Millbury, MA 01527-3918

Phone

(508) 865-4857

Fax

(508) 865-6370

NPI assigned

Apr 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William J Fredericks IV

Title

President

Phone

(508) 865-4857

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1902863434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GRAFTON ST",
            "city": "MILLBURY",
            "state": "MA",
            "postal_code": "015273918",
            "telephone_number": "508-865-4857",
            "fax_number": "508-865-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GRAFTON ST",
            "city": "MILLBURY",
            "state": "MA",
            "postal_code": "015273918",
            "telephone_number": "508-865-4857",
            "fax_number": "508-865-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE MEDICAL SUPPLY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "FREDERICKS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-865-4857",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000390754",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "043506593-00",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET",
            "identifier": "000000024226",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "967611",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1539370",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 312 Millbury Avenue Operating Company, LLC
• Gifty Adu
• Hilary Aiken
• Allan D. Hughes DC, P.C.
• Suzanne Allen
• Gabriele Miraia Alves Ataide
• Amy Elizabeth Alves, LICSW
• Amani Home Care Services LLC
• Samuel Kwame Ameyaw

• Durable Medical Equipment & Medical Supplies in Millbury, MA
• Providers in Millbury, MA by specialty
• Durable Medical Equipment & Medical Supplies in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.