Organization Active NPI

Titlwath Home Improvement LLC

  • Customized Equipment (DME)
  • Gerald, MO
National Provider Identifier
1053552547
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
TITLWATH HOME IMPROVEMENT LLC
Practice address
10 E Flottmann Rd
Gerald, MO 63037-2145
Phone
(573) 764-5098
Fax
(573) 764-5098
NPI assigned
Mar 13, 2009
Last updated
Mar 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Mr. Charles Daniel Pierce, CONTRACTOR
Title
Owner
Phone
(573) 764-5098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X MO Primary

Addresses

Primary practice location

10 E Flottmann Rd
Gerald, MO 63037-2145

Mailing address

10 E Flottmann Rd
Gerald, MO 63037-2145
Phone (573) 764-5098

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1053552547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E FLOTTMANN RD",
            "city": "GERALD",
            "state": "MO",
            "postal_code": "630372145",
            "telephone_number": "573-764-5098",
            "fax_number": "573-764-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E FLOTTMANN RD",
            "city": "GERALD",
            "state": "MO",
            "postal_code": "630372145",
            "telephone_number": "573-764-5098",
            "fax_number": "573-764-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITLWATH HOME IMPROVEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-764-5098",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CONTRACTOR"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gerald, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.