On the Go HME, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ON THE GO HME, INC.

Practice address

2201 W Broadway
Bay #4
Council Bluffs, IA 51501-3605

Phone

(712) 256-9595

Fax

(712) 256-9596

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Dawn Elise Allmon, B.A.

Title

Owner

Phone

(712) 256-9595

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• On The Go Home Medical Equipment & Supplies Doing business as

Locations

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205539200000",
    "number": "1043411705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W BROADWAY",
            "address_2": "BAY #4",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013605",
            "telephone_number": "712-256-9595",
            "fax_number": "712-256-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W BROADWAY",
            "address_2": "BAY #4",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013605",
            "telephone_number": "712-256-9595",
            "fax_number": "712-256-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON THE GO HME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-03-15",
        "status": "A",
        "authorized_official_last_name": "ALLMON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-256-9595",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0400114",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025582200",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "70111",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "On The Go Home Medical Equipment & Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2008; 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.