Active NPI
Envision Home Medical Equipment
- Durable Medical Equipment & Medical Supplies
- El Paso, TX
National Provider Identifier
1073522686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0078258
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Sun City Envision Healthcare Services Inc
- 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.
-
- Community Based Hospice Care Agency
- El Paso, TX
- NPI 1063587707
-
- Home Health Agency
- El Paso, TX
- NPI 1538296181
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.