=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083262604
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARE & ALERT SYSTEMS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/27/2019
-----------------------------------------------------
Last Update Date | 08/27/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9555 W SAM HOUSTON PKWY S STE 155
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77099-2145
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-558-7573
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 750 CHESTNUT RIDGE RD UNIT 223
-----------------------------------------------------
City | SPRING VALLEY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10977-6443
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-517-5060
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | ROBERT B MYTELKA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 845-517-5060
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------