Provider Demographics
NPI: | 1265475461 |
---|---|
Name: | AMERICARE MEDICAL |
Entity Type: | Organization |
Organization Name: | AMERICARE MEDICAL |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | THOMAS |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | NIWINSKI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 215-396-0844 |
Mailing Address - Street 1: | 36 TERRY DR |
Mailing Address - Street 2: | |
Mailing Address - City: | TREVOSE |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 19053-6518 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 215-396-0844 |
Mailing Address - Fax: | 215-396-0849 |
Practice Address - Street 1: | 36 TERRY DR |
Practice Address - Street 2: | |
Practice Address - City: | TREVOSE |
Practice Address - State: | PA |
Practice Address - Zip Code: | 19053-6518 |
Practice Address - Country: | US |
Practice Address - Phone: | 215-396-0844 |
Practice Address - Fax: | 215-396-0849 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-06-14 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Not Answered | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | |
Not Answered | 332BX2000X | Suppliers | Durable Medical Equipment & Medical Supplies | Oxygen Equipment & Supplies |