Metrocare Home Medical - Greenfield

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0786520002 Issued in WI

Legal business name

METROCARE HOME MEDICAL - GREENFIELD

Practice address

W188N11927 Maple Rd
Germantown, WI 53022-6328

Phone

(262) 345-3081

Fax

(262) 250-0825

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jim L Poteet

Title

President

Phone

(262) 345-3081

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Metrocare Home Medical - Greenfield2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Metrocare Home Medical Equipment Center, Inc.

  dba MetroCare Home Medical Equipment & Rehab

  • Durable Medical Equipment & Medical Supplies
  • Milwaukee, WI
  • NPI 1669554911
  NPD tax ID

Locations

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1912181793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 W LAYTON AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532203818",
            "telephone_number": "262-345-3081",
            "fax_number": "262-250-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W188N11927 MAPLE RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530226328",
            "telephone_number": "262-345-3081",
            "fax_number": "262-250-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROCARE HOME MEDICAL - GREENFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "POTEET",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-345-3081",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "0786520002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41740300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle McKibben
• Medinet LLC
• Medstar Transportation LLC
• Dave Melder
• Andrew Menard, PHARMD
• Amy L Miller, M.D.
• Dennis P Miller, MD
• Paul R. Miller, M.D.
• Rachel Susan Miller, LP
• Jenna Anne Mir, RN

• Durable Medical Equipment & Medical Supplies in Germantown, WI
• Providers in Germantown, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.