Provider Demographics
NPI:1093800195
Name:AOC-DME CORP.
Entity Type:Organization
Organization Name:AOC-DME CORP.
Other - Org Name:ANGELS OF CARE MEDICAL EQUIPMENT AND SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:TROY
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-532-5656
Mailing Address - Street 1:PO BOX 577
Mailing Address - Street 2:
Mailing Address - City:HOWE
Mailing Address - State:TX
Mailing Address - Zip Code:75459
Mailing Address - Country:US
Mailing Address - Phone:903-532-5656
Mailing Address - Fax:903-532-5665
Practice Address - Street 1:8015 S US HWY 75
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090
Practice Address - Country:US
Practice Address - Phone:903-532-5656
Practice Address - Fax:903-532-5665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0078401251E00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX531764OtherBLUE CROSS BLUE SHIELD
TX200704961OtherTAX ID #
TX136130OtherSUPERIOR HEALTH PLAN
TX172871901Medicaid
TX12007049617000OtherDADS (TIN)
TX172871902Medicaid
TX60R9386OtherUCN
TX60R9386OtherUCN
TX12007049617000OtherDADS (TIN)