Medical House Supply Group

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0206009376 Issued in VA

Legal business name

MEDICAL HOUSE SUPPLY GROUP

Practice address

440 S Washington St
Falls Church, VA 22046-4414

Phone

(703) 533-2290

Fax

(703) 533-2291

NPI assigned

Jun 8, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kelly Benkahla

Title

C.E.O

Phone

(703) 533-2290

Specialties & licenses 3

Addresses

Other identifiers 8

Other names 1

• The Medical House Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1013143791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 S WASHINGTON ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464414",
            "telephone_number": "703-533-2290",
            "fax_number": "703-533-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S WASHINGTON ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464414",
            "telephone_number": "703-533-2290",
            "fax_number": "703-533-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HOUSE SUPPLY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "BENKAHLA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "703-533-2290",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "DC",
            "license": "075758900",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0206009376",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": "0206009376",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BCBS FEDERAL",
            "identifier": "X946",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068395100",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013143791",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHCF WAIVER PROGRAM",
            "identifier": "075758900",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET FEDERAL SERVICES TRICARE NATIONAL",
            "identifier": "1013143791",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INC",
            "identifier": "1013143791",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA (NATIONAL)",
            "identifier": "382202",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEHA",
            "identifier": "1102778656",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medical House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.