OrganizationActive
Ltc Providers, Inc.
NPI 1396865663 · Durable Medical Equipment & Medical Supplies · Sullivan, MO
Provider details
- NPI number
- 1396865663
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Jeffrey Lock, President Owner(573) 860-6800
- License
- 15522814 (MO)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
115 Progress Pkwy
Sullivan, MO 63080-2359
Phone: (573) 860-6800
Fax: (573) 860-6801
Street-level locationGet directions
Mailing address
Po Box 69
Sullivan, MO 63080-0069
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.