Provider Demographics
NPI:1659310571
Name:RT-CARE LLC
Entity Type:Organization
Organization Name:RT-CARE LLC
Other - Org Name:RT-CARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:LANCE
Authorized Official - Last Name:EPKE
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:989-239-6001
Mailing Address - Street 1:3615 CHRISTY WAY E
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2233
Mailing Address - Country:US
Mailing Address - Phone:989-790-8005
Mailing Address - Fax:989-790-8007
Practice Address - Street 1:3615 CHRISTY WAY E
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2233
Practice Address - Country:US
Practice Address - Phone:989-790-8005
Practice Address - Fax:989-790-8007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
MI53010111353336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2168644OtherPK
MI4858933Medicaid