Provider Demographics
NPI: | 1679637995 |
---|---|
Name: | LINCARE INC. |
Entity type: | Organization |
Organization Name: | LINCARE INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CHIEF OPERATIONS OFFICER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | GREGORY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MCCARTHY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | AO |
Authorized Official - Phone: | 727-530-7700 |
Mailing Address - Street 1: | 19387 US HIGHWAY 19 N |
Mailing Address - Street 2: | |
Mailing Address - City: | CLEARWATER |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33764-3102 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 727-431-8110 |
Mailing Address - Fax: | 877-524-9504 |
Practice Address - Street 1: | 2514 REGENCY RD |
Practice Address - Street 2: | STE 101 |
Practice Address - City: | LEXINGTON |
Practice Address - State: | KY |
Practice Address - Zip Code: | 40503-2968 |
Practice Address - Country: | US |
Practice Address - Phone: | 859-276-0202 |
Practice Address - Fax: | 859-277-8423 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-12-21 |
Last Update Date: | 2021-07-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
KY | 0294030247 | Medicare NSC |