Organization Active NPI

Envision Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • El Paso, TX
National Provider Identifier
1073522686
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0078258 Issued in TX
Legal business name
ENVISION HOME MEDICAL EQUIPMENT
Practice address
1812 Montana Ave
El Paso, TX 79902-5720
Phone
(915) 313-3600
Fax
(915) 313-0475
NPI assigned
Aug 5, 2006
Organization subpart
Yes
Parent organization
SUN CITY ENVISION HEALTHCARE SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Mr. Juan Carmona
Title
President
Phone
(915) 313-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0078258 TX Primary

Addresses

Primary practice location

1812 Montana Ave
El Paso, TX 79902-5720

Mailing address

1812 Montana Ave
El Paso, TX 79902-5720
Phone (915) 313-3600

Other names 1

  • jj medical supply Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Sun City Envision Healthcare Services Inc3 organizations share this tax ID, including this one
Part of
Sun City Envision Healthcare Services Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1812 Montana Ave
El Paso, TX 79902
Phone (915) 313-3600

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1073522686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025720",
            "telephone_number": "915-313-3600",
            "fax_number": "915-313-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025720",
            "telephone_number": "915-313-3600",
            "fax_number": "915-313-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION HOME MEDICAL EQUIPMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUN CITY ENVISION HEALTHCARE SERVICES INC",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "CARMONA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-313-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0078258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jj medical supply",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.