MEDICARE: PERSONAL CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)		KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255335741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONAL CARE, INC.

Provider Business Mailing Address
First Line	:	700 OREGON ST
Second Line	:
City	:	HIAWATHA
State	:	KS
Zip	:	66434-2232
Country	:	US
Telephone Number	:	785-742-7495
Fax Number	:	785-742-4490

Provider Business Practice Location Address
First Line	:	700 OREGON ST
Second Line	:
City	:	HIAWATHA
State	:	KS
Zip	:	66434-2232
Country	:	US
Telephone Number	:	785-742-7495
Fax Number	:	785-742-4490

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DAVID JOHN NACHTIGAL
Credential	:	PT/RCP
Telephone Number	:	785-742-7495

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	07/21/2022

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Directions to “PERSONAL CARE, INC. ” Practice Location

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