Provider Demographics
NPI:1669565362
Name:MED-CARE, LLC
Entity type:Organization
Organization Name:MED-CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:BLUMENKRANTZ
Authorized Official - Suffix:
Authorized Official - Credentials:RP
Authorized Official - Phone:732-918-7555
Mailing Address - Street 1:3535 ROUTE 66
Mailing Address - Street 2:BLDG 3
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-2624
Mailing Address - Country:US
Mailing Address - Phone:732-918-7555
Mailing Address - Fax:732-918-7557
Practice Address - Street 1:3535 ROUTE 66
Practice Address - Street 2:BLDG 3
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-2624
Practice Address - Country:US
Practice Address - Phone:732-918-7555
Practice Address - Fax:732-918-7557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5359601Medicaid