CERTACARE, INC. (NPI# 1013036524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013036524 |
| Entity Type | Organization |
| Organization Name | CERTACARE, INC. |
| Practice Address |
937 Campbellsville Rd Suite 907 Columbia KY 42728-2265 |
| Mailing Address |
937 Campbellsville Rd Po Box 1347 Columbia KY 42728-2265 |
| Practice Telephone | 2703859139 |
| Practice Fax Number | 2703859083 |
| Mailing Telephone | 2703859139 |
| Mailing Fax Number | 2703859083 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2010-07-16 |
| Authorized Official Name | KEVIN MILLER (CEO) |
| Authorized Official Telephone | 2703859139 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
P07106 | KY | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | P07106 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 54011739 | 05 | |
| KY | 9001319400 | 05 |
| Street Address |
937 CAMPBELLSVILLE RD SUITE 907 |
| City | COLUMBIA |
| State | KY |
| Zip Code | 42728-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891765723 | Family Home Health Care LLC | Nursing Care | 937 Campbellsville Rd, Suite 903, Columbia, KY 42728-2265 | 2006-01-24 |
| 1003476797 | Getwell Pharmacy of Columbia Kentucky, Inc. | Pharmacy | 937 Campbellsville Rd, Columbia, KY 42728-2265 | 2019-06-16 |
| 1841688223 | Julie A Brawner | Social Worker | 937 Campbellsville Rd, Columbia, KY 42728-2265 | 2015-01-07 |
| 1992111389 | Tiffany Mcminoway | Nurse Practitioner | 937 Campbellsville Rd, Columbia, KY 42728-2265 | 2014-07-07 |
| 1245570506 | Alisha A Aitken | Nurse Practitioner | 937 Campbellsville Rd, Columbia, KY 42728-2265 | 2013-02-25 |
| 1366682221 | Debbie S Ping | Nurse Practitioner | 937 Campbellsville Rd, Columbia, KY 42728-2265 | 2009-03-04 |
| 1003016882 | Cumberland Family Medical Center, Inc. | Family Medicine | 937 Campbellsville Rd, Columbia, KY 42728-2265 | 2007-07-20 |
| 1780715516 | Kevin Dale Miller I | Pharmacist | 937 Campbellsville Rd, Columbia, KY 42728-2265 | 2007-03-07 |
| 1477602043 | Sandra Kay Irvin | Nurse Practitioner | 937 Campbellsville Rd, Columbia, KY 42728-2265 | 2007-01-10 |
| 1740235811 | Sherry G Shirley - Jones | Family Medicine | 937 Campbellsville Rd, Columbia, KY 42728-2265 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598234114 | Spectrum Care Academy Bluegrass 2 | Psychiatric Residential Treatment Facility | 1175 Cane Valley Rd., Columbia, KY 42728 | 2018-11-14 |
| 1588176812 | Yuichi Kitagawa | Family Medicine | 803 Burksville St, Columbia, KY 42728 | 2017-10-26 |
| 1265983118 | Samantha Giles | Occupational Therapist | 700 Coy Trce, Columbia, KY 42728 | 2016-10-16 |
| 1164804720 | Cumberland Family Medical Center, Inc. | Clinic/Center | 158 Colonel Casey Drive, Columbia, KY 42728 | 2015-06-19 |
| 1164812509 | Eric Henderson Coomer | Registered Nurse | 85 Downey Drive, Columbia, KY 42728 | 2015-01-23 |
| 1154742518 | Mckinsey C Matney | Speech-Language Pathologist | 638 Huntington Way, Columbia, KY 42728 | 2014-01-02 |
| 1619309861 | Lake Cumberland District Health Department | Public Health or Welfare | 158 Col Casey Drive, Columbia, KY 42728 | 2013-07-30 |
| 1184872475 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 2988 Burkesville Rd., Columbia, KY 42728 | 2008-08-29 |
| 1346412301 | Adair County Hospital District | Home Health | 904-b Westlake Drive, Columbia, KY 42728 | 2008-03-31 |
| 1922207513 | Columbia Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 937 Campbellsville Road, Columbia, KY 42728 | 2007-07-13 |
| Find all providers in zip 42728 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
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| 1457975575 | Siege Consulting LLC | Durable Medical Equipment & Medical Supplies | 7125 Thomas Edison Dr Ste 107, Columbia, MD 21046-2208 | 2020-06-04 |
| 1497385454 | Phenomenal Hair Replacement Services LLC | Durable Medical Equipment & Medical Supplies | 9400 Two Notch Rd Ste E1, Columbia, SC 29223-5946 | 2020-01-17 |
| 1689146409 | Mom4moms | Durable Medical Equipment & Medical Supplies | 3905 W Beltline Blvd Ste 17, Columbia, SC 29204-1503 | 2018-12-18 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1447749130 | Kevin Anthony Rasberry | Durable Medical Equipment & Medical Supplies | 482 Marsh Pointe Dr, Columbia, SC 29229-7025 | 2018-05-08 |
| 1811486285 | F & M Logistics | Durable Medical Equipment & Medical Supplies | 9650 Santiago Rd Ste 7, Columbia, MD 21045-3960 | 2018-05-01 |
| 1558884544 | Boone Health Supplies | Durable Medical Equipment & Medical Supplies | 303 N Stadium Blvd Fl 2, Columbia, MO 65203-1493 | 2017-07-20 |
| 1780113696 | Reliance Mobility, LLC | Durable Medical Equipment & Medical Supplies | 702 Lion Pkwy, Columbia, TN 38401-4721 | 2017-06-06 |
| 1003262809 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1028 Roberts Branch Pkwy, Columbia, SC 29203 | 2016-05-11 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.