Healthcare Provider Details

I. General information

NPI: 1114936283
Provider Name (Legal Business Name): PATIENT'S PRIDE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2006
Last Update Date: 05/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 DEL MONTE CTR SUITE 182
MONTEREY CA
93940-6156
US

IV. Provider business mailing address

395 DEL MONTE CTR SUITE 182
MONTEREY CA
93940-6156
US

V. Phone/Fax

Practice location:
  • Phone: 866-607-7433
  • Fax: 831-855-0107
Mailing address:
  • Phone: 866-607-7433
  • Fax: 831-855-0107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number45134
License Number StateCA

VIII. Authorized Official

Name: MS. SHEILA SHAW
Title or Position: CEO
Credential:
Phone: 866-607-7433