PROVIDACARE MEDICAL SUPPLY LTD (NPI# 1386895746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386895746 |
| Entity Type | Organization |
| Organization Name | PROVIDACARE MEDICAL SUPPLY LTD |
| Practice Address |
831 E 2nd St Duluth MN 55805-2103 |
| Mailing Address |
3721 Executive Center Dr Suite 102 Austin TX 78731-1645 |
| Practice Telephone | 2187275555 |
| Practice Fax Number | 2187279999 |
| Mailing Telephone | 5127336518 |
| Mailing Fax Number | 5127959185 |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2009-01-30 |
| Authorized Official Name | MR. ADAM WAYNE BLUMENSHEIN (PARTNER) |
| Authorized Official Telephone | 5127336518 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033360490 | Providacare Medical Supply Ltd | Durable Medical Equipment & Medical Supplies | 1300 Hwy 281, Marble Falls, TX 78654-4504 | 2008-10-03 |
| 1043326481 | Providacare Medical Supply Ltd | Durable Medical Equipment & Medical Supplies | 8300 Old Mcgregor Rd, Ste 1b, Waco, TX 76712-3600 | 2006-08-21 |
| 1457395568 | Providacare Medical Supply Ltd | Durable Medical Equipment & Medical Supplies | 10711 Burnet Rd Ste 304, Austin, TX 78758-4460 | 2006-06-16 |
| 1700072824 | Providacare Medical Supply Ltd | Durable Medical Equipment & Medical Supplies | 3724 Executive Center Dr, Suite 250, Austin, TX 78731-1646 | 2007-09-21 |
| Street Address |
831 E 2ND ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538233978 | Freedom Respiratory Solutions, LLC | Durable Medical Equipment & Medical Supplies | 831 E 2nd St, Duluth, MN 55805-2103 | 2006-11-18 |
| 1437624608 | Nelsie Toussaint | Nurse Practitioner | 831 E 2nd St, Duluth, MN 55805-2103 | 2018-10-03 |
| 1588147839 | Ideal Option, Pllc | Clinic/Center | 831 E 2nd St, Duluth, MN 55805-2103 | 2018-09-12 |
| 1164836862 | Jade Ammons | Nurse Practitioner | 831 E 2nd St, Duluth, MN 55805-2103 | 2014-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
| Find all providers in zip 55805 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205475936 | Divine Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 3502 Satellite Blvd Ste 6, Duluth, GA 30096-5820 | 2019-12-28 |
| 1285296533 | Sunae Hyun Lee | Durable Medical Equipment & Medical Supplies | 2550 Pleasant Hill Rd Ste 106, Duluth, GA 30096-4153 | 2019-07-07 |
| 1851852651 | Rh Allergy Acquisition, LLC. | Durable Medical Equipment & Medical Supplies | 3575 Koger Blvd Ste 240, Duluth, GA 30096-4958 | 2019-03-26 |
| 1073000782 | Remedi Medical Solutions | Durable Medical Equipment & Medical Supplies | 3675 Crestwood Pkwy Nw Ste 500, Duluth, GA 30096-5054 | 2018-04-18 |
| 1871956409 | Wilmington Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 3805 Crestwood Pkwy Nw Ste 100, Duluth, GA 30096-7106 | 2016-03-31 |
| 1952715096 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 1215 E Superior St, Duluth, MN 55802-2218 | 2014-06-17 |
| 1225380454 | Unique Beauty & Hair Supply LLC | Durable Medical Equipment & Medical Supplies | 115 N 3rd Ave W, Duluth, MN 55802-1600 | 2012-10-11 |
| 1093060725 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 4528 Grand Ave, Duluth, MN 55807-2740 | 2012-07-18 |
| 1336441088 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1609 Kenwood Ave, Duluth, MN 55811-2221 | 2010-12-01 |
| 1689906729 | Darlene's Hair Stylists | Durable Medical Equipment & Medical Supplies | 1920 W Superior St, Duluth, MN 55806-2141 | 2010-01-30 |
| Find all providers in DULUTH | ||||
Please comment or provide details below to improve the information on PROVIDACARE MEDICAL SUPPLY LTD.
| 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.