Care Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CARE MEDICAL SUPPLY INC

Practice address

1000 S Benton Dr
Suite 418
Sauk Rapids, MN 56379-1227

Phone

(320) 251-8261

Fax

(320) 251-7023

NPI assigned

Jul 18, 2005

Organization subpart

No

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

Authorized official

Name

Tonja Lea Johnson

Title

C.E.O.

Phone

(320) 251-8261

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1932108453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S BENTON DR",
            "address_2": "SUITE 418",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791227",
            "telephone_number": "320-251-8261",
            "fax_number": "320-251-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S BENTON DR",
            "address_2": "SUITE 418",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791227",
            "telephone_number": "320-251-8261",
            "fax_number": "320-251-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TONJA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "320-251-8261"
    },
    "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": "UCARE",
            "identifier": "110492",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8200123",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "885863200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "13747CA",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "1010935",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "21482",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brookdale Senior Living Communities, Inc. (Sterling House of Sauk Rapids)
• Aaron Brummer, PHARM.D
• Jeremiah Luke Bursch, D.C.
• Kelly Brown Butkowski
• Becky Ann Canon, RN
• Daniel T Carlson, D.C.
• Leah Christine Cathey, RN
• Cherrywood Advanced Living, LLC
• Cherrywood Advanced Living, LLC
• Cherrywood Advanced Living, LLC

• Durable Medical Equipment & Medical Supplies in Sauk Rapids, MN
• Providers in Sauk Rapids, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.