Couch Home Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COUCH HOME MEDICAL

Practice address

16610 Russell Street
Suite 2
Saint Paul, VA 24283-1053

Phone

(276) 762-0146

Fax

(276) 762-0146

NPI assigned

Jan 8, 2010

Last updated

Mar 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela Darlene Couch

Title

Owner/Vice President

Phone

(276) 762-0146

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1013247303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1053",
            "address_2": "16610 RUSSELL STREET",
            "city": "SAINT PAUL",
            "state": "VA",
            "postal_code": "242831053",
            "telephone_number": "276-762-0146",
            "fax_number": "276-762-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16610 RUSSELL STREET",
            "address_2": "SUITE 2",
            "city": "SAINT PAUL",
            "state": "VA",
            "postal_code": "242831053",
            "telephone_number": "276-762-0146",
            "fax_number": "276-762-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUCH HOME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
        "authorized_official_telephone_number": "276-762-0146"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013247303",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.