Healthcare Provider Details

I. General information

NPI: 1144145095
Provider Name (Legal Business Name): DUREABLE MEDCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 S 15TH ST
PHILADELPHIA PA
19102-4826
US

IV. Provider business mailing address

32 GOLD RD
UPPER DARBY PA
19082
US

V. Phone/Fax

Practice location:
  • Phone: 917-525-2517
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JAMES S FREEMAN
Title or Position: OWNER
Credential:
Phone: 917-525-2517