Convacare Services Inc.

LBN: Convacare Services Inc.
Convacare Services Inc. is an health care organization with primary practice located at 2599 W Fountain Dr , Bloomington IN 47404-2782. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Convacare Services Inc. can be contacted via phone (812) 323-2170, or through Mccarthy, Gregory G via phone (727) 530-7700.

Contact Information

Primary practice address
2599 W Fountain Dr Bloomington IN 47404-2782
Phone: (812) 323-2170
Fax: (812) 323-2627
Website:
Map and Directions
Authorized official contact:
Name: Mccarthy, Gregory G
Phone: (727) 530-7700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1750445722
LBN Legal business name Convacare Services Inc.
DBA Doing business as
Authorized official Mccarthy, Gregory G
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 26th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750445722 NPPES
Ohio MEDICAID 2005118
Ohio MEDICAID 100279050A
Ohio MEDICAID 000849153A
Ohio MEDICAID 009942006
Ohio MEDICAID 4582408
Ohio MEDICAID 90032343

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