MEDICARE: AIR-O2 CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	69000044A	IN

General Provider Information

NPI Number	:	1275682767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIR-O2 CARE, INC.

Provider Business Mailing Address
First Line	:	5739 PARK PLAZA CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-3914
Country	:	US
Telephone Number	:	317-570-1518
Fax Number	:	317-570-1921

Provider Business Practice Location Address
First Line	:	5739 PARK PLAZA CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-3914
Country	:	US
Telephone Number	:	317-570-1518
Fax Number	:	317-570-1921

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GREGORY F MONDAY
Credential	:
Telephone Number	:	317-570-1518

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	08/22/2020

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