Healthcare Provider Details

I. General information

NPI: 1689622375
Provider Name (Legal Business Name): CARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 10/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 W LUCAS AVE
DUNKIRK NY
14048-3340
US

IV. Provider business mailing address

PO BOX 552
DUNKIRK NY
14048-0552
US

V. Phone/Fax

Practice location:
  • Phone: 716-363-6347
  • Fax: 716-363-6351
Mailing address:
  • Phone: 716-363-6347
  • Fax: 716-363-6351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number027793
License Number StateNY

VIII. Authorized Official

Name: MICHAEL CAVE
Title or Position: OWNER AND CEO
Credential:
Phone: 716-366-1616