Organization Active NPI

Landmark Healthcare Inc

  • Oxygen Equipment & Supplies (DME)
  • Fort Worth, TX
National Provider Identifier
1063575579
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0091986 Issued in TX
Legal business name
LANDMARK HEALTHCARE INC
Practice address
3515 NW Jim Wright Fwy
Fort Worth, TX 76106-3200
Phone
(817) 338-0007
Fax
(817) 338-0816
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Ronald Majerus
Title
Ceo
Phone
(817) 529-2121

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0091986 TX
Customized Equipment (DME) 332BC3200X 48298 TX
Oxygen Equipment & Supplies (DME) 332BX2000X 0091986 TX Primary

Addresses

Primary practice location

3515 NW Jim Wright Fwy
Fort Worth, TX 76106-3200

Mailing address

3515 NW Jim Wright Fwy
Fort Worth, TX 76106-3200
Phone (817) 338-0007

Other identifiers 1

IdentifierTypeStateIssuer
287123801MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1063575579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 NW JIM WRIGHT FWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761063200",
            "telephone_number": "817-338-0007",
            "fax_number": "817-338-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 NW JIM WRIGHT FWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761063200",
            "telephone_number": "817-338-0007",
            "fax_number": "817-338-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "MAJERUS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-529-2121"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0091986",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "48298",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0091986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287123801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.