Foot Care Store, Llc
Durable Medical Equipment & Medical Supplies
4280 W Windmill Ln Ste 111, Las Vegas
Nevada, 89139-5857
561-721-7063 561-791-9919
Foot Care Store, Llc is a Durable Medical Equipment & Medical Supplies in Las Vegas, Nevada. This organization is also known as sub part of Foot Care Store, Llc. It is located at 4280 W Windmill Ln Ste 111, Las Vegas and it's customer support contact number is 561-721-7063. The authorized person of Foot Care Store, Llc is Dr. Robert Mark Gaynor, DPM who is Director of this DME and his contact number is 156-186-6338. Foot Care Store, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Foot Care Store, Llc is 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.
DME Supplier Details:
Foot Care Store, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Foot Care Store, Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 4280 W Windmill Ln Ste 111, Las Vegas,
Nevada, 89139-5857 |
| Phone: | 561-721-7063 |
| Fax: | 561-791-9919 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Robert Mark Gaynor |
| Credentials: | DPM |
| Position: | Director |
| Contact Number: | 156-186-6338 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1568057057 |
| Parent Organization: | Foot Care Store, Llc |
| NPI Enumeration Date: | 05 Mar, 2021 |
| NPI Last Update On: | 12 Jan, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Foot Care Store, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 029761500 | Medicaid | Florida | |
Medicare Enrollment:
Foot Care Store, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0941312177 | O20210312001550 | Foot Care Store Inc | DME SUPPLIER - MEDICAL SUPPLY COMPANY WITH PEDORTHIC PERSONNEL |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3281 Fairlane Farms Rd,
Wellington, Florida |
| Zip: | 33414-6503 |
| Phone Number: | 615-721-7063 |
| Fax Number: | 561-791-9919 |
Patients can reach Foot Care Store, Llc at
4280 W Windmill Ln Ste 111, Las Vegas, Nevada or can
call on customer care at 561-721-7063.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.