FOOT CARE STORE INC
Durable Medical Equipment & Medical Supplies

Address: 4280 W Windmill Ln Ste 111, Las Vegas, NV 89139-5857

FOOT CARE STORE INC (NPI# 1568057057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568057057
Entity Type Organization
Organization Name FOOT CARE STORE INC
Practice Address 4280 W Windmill Ln Ste 111
Las Vegas
NV 89139-5857
Practice Telephone 5617217063
Practice Fax Number 5617919919
Mailing Address 3281 Fairlane Farms Rd
Wellington
FL 33414-6503
Mailing Telephone 6157217063
Mailing Fax Number 5617919919
Certification Date 2021-03-05
Enumeration Date 2021-03-05
Last Update Date 2021-03-05
Authorized Official Telephone 1561866338
Authorized Official Credential DPM
Is Organization Subpart Y
Parent Organization Name FOOT CARE STORE INC

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider Identifiers

Identifier State Issuer Type Code
029761500 FL MEDICAID

Other Provider/Organization Names

Other Name Type Code
Dia-Foot Doing Business As Name

Other providers with the same name

NPI Name Taxonomy Address Enumeration
1912218504 Foot Care Store Inc · Dia-Foot 3281 Fairlane Farms Rd Ste 7, Wellington, FL 33414-6503 2010-06-29
1740333061 Foot Care Store Inc · Dia-Foot 3281 Fairlane Farms Rd Ste 4, Wellington, FL 33414-6503 2007-01-19

Office Location

Street Address 4280 W WINDMILL LN STE 111
City LAS VEGAS
State NV
Zip Code 89139-5857

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1003440116 Cynrg Enterprises LLC Marriage & Family Therapist 6578 Creekside Cellars Court, Las Vegas, NV 89139 2020-02-27
1922542968 De Craig Ranch, LLC · Dignity Health-St. Rose Dominican Blue Diamond Campus General Acute Care Hospital 4855 Blue Diamond Rd, Las Vegas, NV 89139 2016-12-09
1851847404 Sports LLC · Fyzical Sports Physical Therapist 7770 Dean Martin Dr Ste 307, Las Vegas, NV 89139 2016-09-01
1790134179 Jubert C Aranas LLC · Atlas Dental Group Dentist 7460 S. Rainbow Blvd., Suite 100, Las Vegas, NV 89139 2016-06-07
1497177612 Camilya Reshuntae Jasames Counselor 5079 W Moberly Ave, Las Vegas, NV 89139 2014-01-07
1366794257 Anna Liza Mercado Pharmacist 7350 S Rainbow Blvd, Las Vegas, NV 89139 2012-10-03
1245533207 Maryanne D. Phillips Md Apc Anesthesiology · Pain Medicine 7835 S Rainbow Bl, Ste 15, Las Vegas, NV 89139 2010-12-14
1093015612 Eboni Abah Behavior Analyst 777 South Jones Ave, Las Vegas, NV 89139 2010-10-29
1669600896 Min Kyu Kim Dentist · Orthodontics and Dentofacial Orthopedics 8035 S Rainbow Blvd # 102, Las Vegas, NV 89139 2009-06-25
1790924587 Visionworks, Inc. · Visionworks Eyewear Supplier 3692 Blue Diamond Road, Las Vegas, NV 89139 2009-02-18
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578156493 Dignity Select Nevada, LLC 8675 W Rome Blvd Ste 140, Las Vegas, NV 89149-1291 2021-02-12
1689266595 Dme-Z, LLC 7365 Prairie Falcon Rd Ste 140, Las Vegas, NV 89128-0808 2021-02-11
1811595622 Genoa Healthcare, LLC 2500 W Washington Ave Ste 103, Las Vegas, NV 89106-3731 2020-10-14
1639793698 Amador Medical LLC 4325 Dean Martin Dr Ste 340, Las Vegas, NV 89103-4168 2020-06-04
1205456001 Vitality M12 LLC 4650 Arville St Ste F, Las Vegas, NV 89103-5325 2020-04-21
1255951059 Peggy Medical Equipment LLC 6355 S Durango Dr Unit 1265, Las Vegas, NV 89113-1878 2020-04-21
1598394801 Total Medical Equipment LLC 200 Hoover Ave Unit 1912, Las Vegas, NV 89101-6887 2020-04-07
1033743083 Summerlin Medical 10300 W. Charleston Blvd., Suite 13, Las Vegas, NV 89135 2020-02-28
1053959791 Wound Pros Nevada 5940 S Rainbow Blvd Ste 2007, Las Vegas, NV 89118-2506 2019-12-12
1306482906 Signal Health Group, Dme Services 3753 Howard Hughes Pkwy Ste 200, Las Vegas, NV 89169-0952 2019-11-19
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Competitor

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City LAS VEGAS
Zip Code 89139

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.