GENCARE, LLC (NPI# 1699900100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699900100 |
| Entity Type | Organization |
| Organization Name | GENCARE, LLC |
| Practice Address |
200 W 1st St Ste 192 Suite 192 Farmington MO 63640-2521 |
| Practice Telephone | 5737019191 |
| Practice Fax Number | 5737019190 |
| Mailing Telephone | 5737019191 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-05-28 |
| Authorized Official Name | TERRY L HICKS (MANAGING PARTNER) |
| Authorized Official Telephone | 5737019191 |
| Authorized Official Credential | RPSGT |
| 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 |
|---|---|---|---|---|
| 1174880033 | Gencare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5717 Woodbine, Fredericksburg, VA 22407-9211 | 2012-04-17 |
| Street Address |
200 W 1ST ST STE 192 SUITE 192 |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| 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 |
|---|---|---|---|---|
| 1265089262 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 508 W Pine St Ste 101, Farmington, MO 63640-1426 | 2019-08-23 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1982114807 | Handypro International, LLC | Durable Medical Equipment & Medical Supplies | 22500 Orchard Lake Rd Ste A, Farmington, MI 48336-3242 | 2017-10-05 |
| 1104205749 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 101 E Karsch Blvd, Farmington, MO 63640-1235 | 2015-05-28 |
| 1801209499 | Four Corners Foot and Ankle P.C. | Durable Medical Equipment & Medical Supplies | 2700 Farmington Ave Bldg C, Ste 1, Farmington, NM 87401-4550 | 2014-06-11 |
| 1609122621 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 26 W Karsch Blvd, Farmington, MO 63640-1411 | 2012-07-27 |
| 1023395027 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2844 E Main St Ste 105, Farmington, NM 87402 | 2011-11-04 |
| 1801100474 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 2300 E 30th St Ste B104, Farmington, NM 87401-8991 | 2010-08-05 |
| 1629397666 | Tricorex Inc | Durable Medical Equipment & Medical Supplies | 918 Valley Creek Dr, Farmington, MO 63640-1968 | 2010-05-28 |
| 1790921690 | Amara Home Medical | Durable Medical Equipment & Medical Supplies | 1367 Fairway Cir, Farmington, UT 84025-2804 | 2008-12-23 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.