# MEDCARE HOME MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134107089
- **Authorized official:** MR. RUSSELL ALLEN STRINGFELLOW (MANAGING MEMBER CFO)
- **Authorized official phone:** (800) 718-0407

## Contact information

- **Practice address:** 1314 W SCHATZ LN, NIXA, MO 65714-7194
- **Practice address phone:** (800) 718-0407
- **Practice address fax:** (866) 297-2413
- **Mailing address:** 1314 W SCHATZ LN, NIXA, MO 65714-7194
- **Mailing address phone:** (800) 718-0407
- **Mailing address fax:** (866) 297-2413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | MP 00317 | NV | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | MP00317 | NV | Yes |

## Other

- **Enumeration date:** 01/01/2006
- **Last updated:** 01/31/2008