Provider Demographics
NPI:1982010138
Name:PROACTION CARE LLC
Entity Type:Organization
Organization Name:PROACTION CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:R
Authorized Official - Last Name:HEDDERMAN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:281-772-5410
Mailing Address - Street 1:26111 I-45 NORTH
Mailing Address - Street 2:SUITE 124
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:26111 I-45 NORTH
Practice Address - Street 2:SUITE 124
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380
Practice Address - Country:US
Practice Address - Phone:281-772-5410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies