Provider Demographics
NPI:1326607011
Name:HEROCARE LLC
Entity Type:Organization
Organization Name:HEROCARE LLC
Other - Org Name:HEROCARE MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:HOTCHKISS
Authorized Official - Suffix:JR
Authorized Official - Credentials:RCP
Authorized Official - Phone:818-384-8664
Mailing Address - Street 1:12598 CENTRAL AVE STE 109
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-3500
Mailing Address - Country:US
Mailing Address - Phone:909-548-0990
Mailing Address - Fax:909-285-2212
Practice Address - Street 1:12598 CENTRAL AVE STE 109
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-3500
Practice Address - Country:US
Practice Address - Phone:818-384-8664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-06
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies