Provider Demographics
NPI:1932221280
Name:EMPICARE INC
Entity type:Organization
Organization Name:EMPICARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, REGULATORY AFFAIRS, COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:D
Authorized Official - Last Name:TRASK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-244-2774
Mailing Address - Street 1:11802 BRINLEY AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40243-1089
Mailing Address - Country:US
Mailing Address - Phone:502-244-2774
Mailing Address - Fax:502-244-8085
Practice Address - Street 1:1771 GRAND AVE
Practice Address - Street 2:SUITE A
Practice Address - City:NORTH BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-2429
Practice Address - Country:US
Practice Address - Phone:516-867-6272
Practice Address - Fax:516-867-6274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332B00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0951590051Medicare NSC