Provider Demographics
NPI:1114207024
Name:MED-E-CARE, INC.
Entity Type:Organization
Organization Name:MED-E-CARE, INC.
Other - Org Name:A TO Z DURABLE MEDICAL EQUIPMENT / SCM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHIP
Authorized Official - Middle Name:
Authorized Official - Last Name:CONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-682-7163
Mailing Address - Street 1:5773 PARK PLAZA CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-3914
Mailing Address - Country:US
Mailing Address - Phone:317-288-4839
Mailing Address - Fax:317-288-4853
Practice Address - Street 1:7955 NATIONAL TPKE UNIT 100
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40214-4903
Practice Address - Country:US
Practice Address - Phone:800-682-7163
Practice Address - Fax:800-289-3908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies