1992066724 NPI number — TRUSTCARE HOME MEDICAL EQUIPMENT, INC.

Table of content: MR. THOMAS CHRISTOPHER STEPHENS LCSW (NPI 1104995018)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992066724 NPI number — TRUSTCARE HOME MEDICAL EQUIPMENT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRUSTCARE HOME MEDICAL EQUIPMENT, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992066724
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
117 GOODWIN AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALEM
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24153-3227
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-409-4020
Provider Business Mailing Address Fax Number:
877-224-5105

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
117 GOODWIN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALEM
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24153-3227
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-409-4020
Provider Business Practice Location Address Fax Number:
877-224-5105
Provider Enumeration Date:
06/07/2012

Additional Information

Authorized Official

Authorized Official Last Name:
ARMSTRONG
Authorized Official First Name:
MARK
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
804-262-9001

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  35F001 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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