Provider Demographics
NPI:1407170517
Name:TELCARE MEDICAL SUPPLY, LLC
Entity Type:Organization
Organization Name:TELCARE MEDICAL SUPPLY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-729-0504
Mailing Address - Street 1:1000 CEDAR HOLLOW RD STE 102
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-2300
Mailing Address - Country:US
Mailing Address - Phone:610-729-5066
Mailing Address - Fax:978-832-1070
Practice Address - Street 1:600 W RIDGE RD STE 200
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:PA
Practice Address - Zip Code:19061-1700
Practice Address - Country:US
Practice Address - Phone:610-729-5075
Practice Address - Fax:978-832-1070
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIOTELEMETRY CARE MANAGEMENT, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-18
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004484200Medicaid
FL004484200Medicaid