Home Medical Equipment of Fort Worth, LLC.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

HOME MEDICAL EQUIPMENT OF FORT WORTH, LLC.

Doing business as

Home Medical Equipment of Texas

Practice address

5324 Davis Blvd
North Richland Hills, TX 76180-6824

Phone

(817) 282-5273

Fax

(817) 282-5279

NPI assigned

Oct 26, 2006

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Issam B Bou-Hamdan

Title

Vice President

Phone

(817) 282-5273

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HOME MEDICAL EQUIPMENT OF TEXAS Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Pettis

  • Customized Equipment (DME)
  • North Richland Hills, TX
  • NPI 1174989982

  Durable Medical Equipment & Medical Supplies

  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1063597284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5324 DAVIS BLVD",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806824",
            "telephone_number": "817-282-5273",
            "fax_number": "817-282-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5324 DAVIS BLVD",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806824",
            "telephone_number": "817-282-5273",
            "fax_number": "817-282-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME MEDICAL EQUIPMENT OF FORT WORTH, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "BOU-HAMDAN",
        "authorized_official_first_name": "ISSAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "817-282-5273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0071054",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "531424",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710055-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOME MEDICAL EQUIPMENT OF TEXAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holiday Lane Estates Assisted Living (Holiday Lane Estates)
• Amy Lisette Hollis, LCSW, MSW
• Jenna Michelle Holloway
• Rylee Erin Holmes, BEHAVIOR ANALYST
• Kim Holton
• Vibha Honkan, M.D.
• Kirstie Hooten
• Ann Marie Hoover, OTR
• Dylan Clay Hoover, DPT
• Fran Hoppenreys, PHARMD

• Customized Equipment (DME) in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.