Healthcare Provider Details
I. General information
NPI: 1174772032
Provider Name (Legal Business Name): RESPICARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/16/2008
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5470 W SPRUCE AVE STE 104
FRESNO CA
93722
US
IV. Provider business mailing address
1019 TOWN DR
HIGHLAND HEIGHTS KY
41076-9114
US
V. Phone/Fax
- Phone: 559-432-4455
- Fax: 559-432-4466
- Phone: 859-441-8876
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | 54334 |
| License Number State | CA |
VIII. Authorized Official
Name:
GREGORY
J
CRAWFORD
Title or Position: CEO
Credential:
Phone: 859-441-8876