PROVIDACARE MEDICAL SUPPLY LTD (NPI# 1457395568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457395568 |
| Entity Type | Organization |
| Organization Name | PROVIDACARE MEDICAL SUPPLY LTD |
| Practice Address |
10711 Burnet Rd Ste 304 Austin TX 78758-4460 |
| Mailing Address |
Po Box 27010 Austin TX 78755-2010 |
| Practice Telephone | 5127336500 |
| Practice Fax Number | 5127336511 |
| Mailing Telephone | 5127336500 |
| Mailing Fax Number | 5127336511 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-07-08 |
| Authorized Official Name | MR. RYAN N BENNETT (CEO) |
| Authorized Official Telephone | 5127336518 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
0089310 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 180009601 | 05 |
| 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 |
| 1386895746 | Providacare Medical Supply Ltd | Durable Medical Equipment & Medical Supplies | 831 E 2nd St, Duluth, MN 55805-2103 | 2008-10-03 |
| 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 |
10711 BURNET RD STE 304 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-4460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124436266 | Tlc Hospice of Austin, L.L.C. | Hospice Care, Community Based | 10711 Burnet Rd Ste 304, Austin, TX 78758 | 2014-07-31 |
| 1821319435 | Texas Acceptance Home Healthcare, LLC | Home Health | 10711 Burnet Rd Ste 304, Austin, TX 78758 | 2010-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164701637 | Dme Resources | Durable Medical Equipment & Medical Supplies | 11825 Buckner Rd, Austin, TX 78726-1716 | 2011-08-15 |
| 1912180126 | Ab & Mj Care LLC | Durable Medical Equipment & Medical Supplies | 9705 Burnet Rd Ste 204, Austin, TX 78758-5242 | 2007-12-11 |
| 1952421893 | Bonnie Cappo | Durable Medical Equipment & Medical Supplies | 1215 Slaughter Ln W, Apt 1614, Austin, TX 78748-6700 | 2007-03-31 |
| 1689625402 | Austin Oxymed, LLC | Durable Medical Equipment & Medical Supplies | 8204 N Lamar Blvd, Suite C17, Austin, TX 78753-5960 | 2006-05-15 |
| 1073510574 | Dependacare of Austin | Durable Medical Equipment & Medical Supplies | 5321 Industrial Oaks Blvd, Suite # 121, Austin, TX 78735-8822 | 2005-06-30 |
| 1518402239 | Good Night Medical of Texas, Inc. | Durable Medical Equipment & Medical Supplies | 8906 Wall St, Suite 801, Austin, TX 78754-4541 | 2017-01-04 |
| 1124495262 | Asc Sleep Solutions | Durable Medical Equipment & Medical Supplies | 3600 W Parmer Ln, Ste 108, Austin, TX 78727-4107 | 2015-08-24 |
| 1306153655 | Allmed Sales & Rentals, Inc | Durable Medical Equipment & Medical Supplies | 8711 Burnet Rd, Ste F-73, Austin, TX 78757-7043 | 2010-09-08 |
| 1205074911 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 937 Reinli St, Ste 26, Austin, TX 78751 | 2009-02-03 |
| 1063670370 | Trusted Life Care Inc | Durable Medical Equipment & Medical Supplies | 13284 Pond Springs Rd, Ste 303, Austin, TX 78729-7177 | 2008-05-23 |
| Find all providers in AUSTIN | ||||
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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.