1265462063 NPI number — AIR INSPIRED HOME MEDICAL EQUIPMENT

Table of content: (NPI 1265462063)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265462063 NPI number — AIR INSPIRED HOME MEDICAL EQUIPMENT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AIR INSPIRED HOME MEDICAL EQUIPMENT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
RESPIRATORY CARE AND HME LLC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265462063
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/17/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1087
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GLENPOOL
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74033-1087
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
918-518-5225
Provider Business Mailing Address Fax Number:
918-518-5169

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
519 E 141ST ST
Provider Second Line Business Practice Location Address:
SUITE I
Provider Business Practice Location Address City Name:
GLENPOOL
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74033-3523
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-518-5225
Provider Business Practice Location Address Fax Number:
918-518-5169
Provider Enumeration Date:
07/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BEENE
Authorized Official First Name:
JOE
Authorized Official Middle Name:
Authorized Official Title or Position:
GENERAL MANAGER
Authorized Official Telephone Number:
918-518-5225

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BP3500X , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X , with the licence number: 2D1177 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200072650A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com