Provider Demographics
NPI:1932132594
Name:FIRST CARE MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:FIRST CARE MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTHURS
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:732-303-8450
Mailing Address - Street 1:82 FREEHOLD RD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3730
Mailing Address - Country:US
Mailing Address - Phone:732-303-8450
Mailing Address - Fax:732-792-6867
Practice Address - Street 1:82 FREEHOLD RD
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3730
Practice Address - Country:US
Practice Address - Phone:732-303-8450
Practice Address - Fax:732-792-6867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ332B00000X332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0121991Medicaid
NJ5146430001Medicare NSC