Organization Active NPI

Supercare, Inc.

  • Durable Medical Equipment & Medical Supplies
  • El Paso, TX
National Provider Identifier
1922588052
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1001560 Issued in TX
Legal business name
SUPERCARE, INC.
Practice address
4717 Osborne Dr Ste 100
El Paso, TX 79922-1035
Phone
(800) 206-4880
NPI assigned
Aug 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
John L Cassar
Title
Ceo
Phone
(800) 206-4880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1001560 TX Primary

Addresses

Primary practice location

4717 Osborne Dr Ste 100
El Paso, TX 79922-1035

Mailing address

8345 E. Firestone Blvd
Suite 210
Downey, CA 90241-3871

Other names 1

  • SuperCare Health Doing business as

National Provider Directory

National Provider Directory

Locations

4717 Osborne Dr
Ste 100
El Paso, TX 79922

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1922588052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8345 E. FIRESTONE BLVD",
            "address_2": "SUITE 210",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 OSBORNE DR STE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799221035",
            "telephone_number": "800-206-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "CASSAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-206-4880"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1001560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SuperCare Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.