Organization Active NPI

Center Home Care DME, LLC

Doing business as Center Home Care

  • Oxygen Equipment & Supplies (DME)
  • Enterprise, AL
National Provider Identifier
1053976399
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
CENTER HOME CARE DME, LLC
Doing business as
Center Home Care
Practice address
621 Boll Weevil Cir Ste 29
Enterprise, AL 36330-2749
Phone
(334) 347-4446
Fax
(334) 347-3440
NPI assigned
May 2, 2019
Last updated
May 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Authorized official

Name
Joseph Jason Windham
Title
Member
Phone
(334) 347-4446

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

621 Boll Weevil Cir Ste 29
Enterprise, AL 36330-2749

Mailing address

621 Boll Weevil Cir Ste 29
Enterprise, AL 36330-2749
Phone (334) 347-4446

Other names 1

  • Center Home Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200129001228 AL DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Oxygen & Equipment 9234565904 Practice locations: Enterprise, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Center Home Care DME LLC621 Boll Weevil Cir, Enterprise, AL 36330-2749(334) 347-4446 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (… Does not accept assignmentParticipating since Dec 10, 2019

National Provider Directory

National Provider Directory

Locations

621 Boll Weevil Cir
Ste 29
Enterprise, AL 36330
Phone (334) 347-4446

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1053976399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 BOLL WEEVIL CIR STE 29",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302749",
            "telephone_number": "334-347-4446",
            "fax_number": "334-347-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 BOLL WEEVIL CIR STE 29",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302749",
            "telephone_number": "334-347-4446",
            "fax_number": "334-347-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER HOME CARE DME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "WINDHAM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "334-347-4446"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.