Healthcare Provider Details

I. General information

NPI: 1780728758
Provider Name (Legal Business Name): CARE MEDICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 02/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 BRADSHAW CIR
CANDLER NC
28715-9404
US

IV. Provider business mailing address

56 BRADSHAW CIR
CANDLER NC
28715-9404
US

V. Phone/Fax

Practice location:
  • Phone: 828-665-1654
  • Fax: 828-667-4012
Mailing address:
  • Phone: 828-665-1654
  • Fax: 828-667-4012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number495
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number495
License Number StateNC

VIII. Authorized Official

Name: MR. FRED GUTHRIE IVEY JR.
Title or Position: PRESIDENTOWNER
Credential: EDS
Phone: 828-687-0711