Healthcare Provider Details

I. General information

NPI: 1891854998
Provider Name (Legal Business Name): EMPICARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 05/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 10TH AVE S SUITE 200A
BIRMINGHAM AL
35205-1200
US

IV. Provider business mailing address

11802 BRINLEY AVE SUITE 102
LOUISVILLE KY
40243-1089
US

V. Phone/Fax

Practice location:
  • Phone: 205-939-5526
  • Fax: 205-939-5525
Mailing address:
  • Phone: 502-244-2774
  • Fax: 502-244-8085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberSLSR000010054
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberSLSR000010054
License Number StateAL

VIII. Authorized Official

Name: MRS. REBECCA DIANNE TRASK
Title or Position: VICE PRESIDENT, CORPORATE DEVELOPME
Credential:
Phone: 502-244-2774