MEDICARE: CARESTED, 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	332B00000X	Durable Medical Equipment & Medical Supplies	125112	OH
2	332BX2000X	Oxygen Equipment & Supplies (DME)	526649	OH

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	:	1801889563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARESTED, INC.

Provider Business Mailing Address
First Line	:	PO BOX 4686
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08754-4686
Country	:	US
Telephone Number	:	732-349-2990
Fax Number	:	732-244-7588

Provider Business Practice Location Address
First Line	:	6619 PEARL RD
Second Line	:
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130-3809
Country	:	US
Telephone Number	:	440-842-7797
Fax Number	:	440-888-3808

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MICHAEL FRIED
Credential	:
Telephone Number	:	440-842-7797

Provider Enumeration Date	:	08/29/2005
Last Update Date	:	10/05/2009

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Directions to “CARESTED, INC. ” Practice Location

Language	Start Address	Practice Location

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