LTC PROVIDERS
NPI 1356382790
Durable Medical Equipment & Medical Supplies in Sullivan, MO

Active since June 09, 2006
115 PROGRESS PKWY, SULLIVAN, MO 63080(573) 860-6800(573) 860-6801 Get Directions Write a Review

NPPES record last updated: May 27, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ltc Providers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LTC PROVIDERS (NPI 1356382790) is a healthcare organization registered as a durable medical equipment & medical supplies in Sullivan, Missouri and active in the NPI registry since June 2006. The organization lists Jeffrey D Lock, President Owner, as its authorized official.

NPPES Registry Identity

NPI1356382790
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLTC PROVIDERS, INC
Location Address115 PROGRESS PKWYSullivan, MO 63080-2359
Mailing AddressPo Box 69Sullivan, MO 63080-0069 · (573) 860-6800 · Fax (573) 860-6801
Fax(573) 860-6801
Organization SubpartNo
Authorized OfficialJeffrey D LockPresident Owner · (573) 860-6800
Enumeration DateJune 9, 2006
Last NPPES UpdateMay 27, 2011
✔ NPI 1356382790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in MO · 15522814
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.
115 PROGRESS PKWY, Sullivan, MO 63080

Other Names 1

Doing Business AsLtc Providers

Other Identifiers 3

Medicaid=========001IL
Medicare NSC0885570001MO
Medicaid627718802MO

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
115 PROGRESS PKWY
SULLIVAN, MO 63080
Clinic/Center
115 PROGRESS PKWY
SULLIVAN, MO 63080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ltc Providers, Inc's NPI number?

The NPI number for Ltc Providers, Inc is 1356382790. It was assigned to this organization in the NPPES registry on June 9, 2006. The provider is doing business as Ltc Providers.

Where is Ltc Providers, Inc located?

Ltc Providers, Inc is located at 115 Progress Pkwy, Sullivan, MO 63080. The listed phone number is (573) 860-6800.

What is Ltc Providers, Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Ltc Providers, Inc was last updated on May 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.