Healthcare Provider Details
I. General information
NPI: 1609927987
Provider Name (Legal Business Name): EMPICARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/15/2007
Last Update Date: 04/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 LURAY DR SUITE A
WINTERSVILLE OH
43953-3973
US
IV. Provider business mailing address
PO BOX 32234
LOUISVILLE KY
40232-2234
US
V. Phone/Fax
- Phone: 740-264-2082
- Fax: 740-264-2082
- Phone: 502-244-2774
- Fax: 502-244-8085
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 41034915 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | 41034915 |
| License Number State | OH |
VIII. Authorized Official
Name:
REBECCA
D
TRASK
Title or Position: VP, CORPORATE DEVELOPMENT
Credential:
Phone: 502-244-2774