Provider Demographics
NPI:1780728758
Name:CARE MEDICAL, INC.
Entity type:Organization
Organization Name:CARE MEDICAL, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTOWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:GUTHRIE
Authorized Official - Last Name:IVEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:EDS
Authorized Official - Phone:828-687-0711
Mailing Address - Street 1:56 BRADSHAW CIR
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-9404
Mailing Address - Country:US
Mailing Address - Phone:828-665-1654
Mailing Address - Fax:828-667-4012
Practice Address - Street 1:56 BRADSHAW CIR
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-9404
Practice Address - Country:US
Practice Address - Phone:828-665-1654
Practice Address - Fax:828-667-4012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC495332BN1400X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7703762Medicaid
NC7703762Medicaid