MEDICARE: OCR CARE, LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies	6000006864	PA

General Provider Information

NPI Number	:	1801841234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCR CARE, LLC

Provider Business Mailing Address
First Line	:	6400 BROOKTREE CT
Second Line	:	SUITE 360
City	:	WEXFORD
State	:	PA
Zip	:	15090-9271
Country	:	US
Telephone Number	:	724-933-3900
Fax Number	:	724-933-3211

Provider Business Practice Location Address
First Line	:	6400 BROOKTREE CT
Second Line	:	SUITE 360
City	:	WEXFORD
State	:	PA
Zip	:	15090-9271
Country	:	US
Telephone Number	:	724-933-3900
Fax Number	:	724-933-3211

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. WILLIAM J O'CONNOR
Credential	:
Telephone Number	:	724-933-3900

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	08/22/2020

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