=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760476253
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OXY-CARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/10/2005
-----------------------------------------------------
Last Update Date | 07/26/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 224 WASHINGTON HEIGHTS MED CTR
-----------------------------------------------------
City | WESTMINSTER
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21157-5633
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-871-0887
-----------------------------------------------------
Fax | 410-871-0136
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 224 WASHINGTON HEIGHTS MED CTR
-----------------------------------------------------
City | WESTMINSTER
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21157-5633
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-871-0887
-----------------------------------------------------
Fax | 410-871-0136
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | RESPIRATORY CARE PRACTITIONER
-----------------------------------------------------
Name | MR. ANWAR BAKSH
-----------------------------------------------------
Credential | RRT
-----------------------------------------------------
Telephone | 410-871-0887
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332BX2000X
-----------------------------------------------------
Taxonomy Name | Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
License Number | 06013957
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------