Active NPI
Medical Aid Supply House Inc
- Durable Medical Equipment & Medical Supplies
- Duluth, GA
National Provider Identifier
1073582003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 623509993A
- Legal business name
- MEDICAL AID SUPPLY HOUSE INC
- Practice address
- 3547 Peachtree Industrial Blvd
Suite 4
Duluth, GA 30096-1419 - Phone
- (770) 622-1211
- Fax
- (770) 622-1241
- NPI assigned
- Mar 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeong Hee Woo
- Title
- President
- Phone
- (770) 622-1211
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 623509993A | GA | Primary |
| Emergency Response System Companies | 333300000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | 623509993B | GA |
Addresses
Primary practice location
3547 Peachtree Industrial Blvd
Suite 4
Duluth, GA 30096-1419
Mailing address
3547 Peachtree Industrial Blvd
Suite 4
Duluth, GA 30096-1419
Phone (770) 622-1211
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 623509993B | Medicaid | GA | |
| 623509993A | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253232000000",
"number": "1073582003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3547 PEACHTREE INDUSTRIAL BLVD",
"address_2": "SUITE 4",
"city": "DULUTH",
"state": "GA",
"postal_code": "300961419",
"telephone_number": "770-622-1211",
"fax_number": "770-622-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3547 PEACHTREE INDUSTRIAL BLVD",
"address_2": "SUITE 4",
"city": "DULUTH",
"state": "GA",
"postal_code": "300961419",
"telephone_number": "770-622-1211",
"fax_number": "770-622-1241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL AID SUPPLY HOUSE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-14",
"last_updated": "2009-09-18",
"status": "A",
"authorized_official_last_name": "WOO",
"authorized_official_first_name": "JEONG",
"authorized_official_middle_name": "HEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-622-1211"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "GA",
"license": "623509993A",
"primary": true
},
{
"code": "333300000X",
"taxonomy_group": "",
"desc": "Emergency Response System Companies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "GA",
"license": "623509993B",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "623509993B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "623509993A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.