MEDICARE: SPRINGCARE MEDICAL SUPPLIES, 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	862	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912998139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRINGCARE MEDICAL SUPPLIES, INC.

Provider Business Mailing Address
First Line	:	1161 MURFREESBORO PIKE
Second Line	:	SUITE 105
City	:	NASHVILLE
State	:	TN
Zip	:	37217-2222
Country	:	US
Telephone Number	:	615-367-6262
Fax Number	:	615-367-6261

Provider Business Practice Location Address
First Line	:	1161 MURFREESBORO PIKE
Second Line	:	SUITE 105
City	:	NASHVILLE
State	:	TN
Zip	:	37217-2222
Country	:	US
Telephone Number	:	615-367-6262
Fax Number	:	615-367-6261

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EKERETTE MICHAEL UKPONG
Credential	:
Telephone Number	:	615-367-6262

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	08/22/2020

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