Provider Demographics
NPI:1225159759
Name:AIR CARE LLC
Entity type:Organization
Organization Name:AIR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO COWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:NANK
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:316-831-0111
Mailing Address - Street 1:1999 N. AMIDON
Mailing Address - Street 2:SUITE 330
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203
Mailing Address - Country:US
Mailing Address - Phone:316-831-0111
Mailing Address - Fax:
Practice Address - Street 1:1999 N. AMIDON
Practice Address - Street 2:SUITE 330
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203
Practice Address - Country:US
Practice Address - Phone:316-831-0111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS6165302332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200533120AMedicaid
KS508557OtherHPK
KS0000118464OtherBLUE CROSS BLUE SHIELD
KS5914420001Medicare NSC