Active NPI
Quality Home Oxygen, Inc.
- Durable Medical Equipment & Medical Supplies
- McComb, MS
National Provider Identifier
1063593804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 02453-11.1
- Legal business name
- QUALITY HOME OXYGEN, INC.
- Practice address
- 228 State St
McComb, MS 39648-3939 - Phone
- (601) 684-9386
- Fax
- (601) 684-1055
- NPI assigned
- Oct 18, 2006
- Organization subpart
- Yes
- Parent organization
- QUALITY HOME OXYGEN, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert M Fisher
- Title
- President
- Phone
- (601) 684-8923
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 02453-11.1 | MS | Primary |
Addresses
Primary practice location
228 State St
McComb, MS 39648-3939
Mailing address
145 W Hickory St
Ponchatoula, LA 70454-3215
Phone (985) 386-4760
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00440119 | Medicaid | MS | |
| 1981915 | Medicaid | LA |
National Provider Directory
National Provider Directory- Part of
- Quality Home Oxygen Inc
Locations
145 W Hickory St
Ponchatoula, LA 70454
Phone (985) 386-4760
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Durable Medical Equipment & Medical Supplies
- Natchez, MS
- NPI 1871793695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312934400000",
"number": "1063593804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 W HICKORY ST",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704543215",
"telephone_number": "985-386-4760",
"fax_number": "985-386-4761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 STATE ST",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396483939",
"telephone_number": "601-684-9386",
"fax_number": "601-684-1055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY HOME OXYGEN, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "QUALITY HOME OXYGEN, INC.",
"enumeration_date": "2006-10-18",
"last_updated": "2011-08-10",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "601-684-8923",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MS",
"license": "02453-11.1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00440119",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1981915",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.