Organization Active NPI

Home Respiratory With Heart

  • Oxygen Equipment & Supplies (DME)
  • Ralston, NE
National Provider Identifier
1073847844
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
HOME RESPIRATORY WITH HEART
Practice address
7602 Park Dr
Suite B
Ralston, NE 68127-3944
Phone
(402) 614-4622
Fax
(402) 614-4726
NPI assigned
Sep 28, 2009
Last updated
Aug 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Authorized official

Name
Mr. Stephen P Jesus
Title
Respiratory Therapist
Phone
(402) 614-4622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X NU Primary

Addresses

Primary practice location

7602 Park Dr
Suite B
Ralston, NE 68127-3944

Mailing address

7602 Park Dr Ste B
Ralston, NE 68127-3944
Phone (402) 614-4622

Other identifiers 1

IdentifierTypeStateIssuer
10025827000MedicaidNE

National Provider Directory

National Provider Directory

Locations

7602 Park Dr
#B
Ralston, NE 68127
Phone (402) 614-4622

7602 Park Dr
Ste B
Ralston, NE 68127
Phone (402) 614-4622

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1073847844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7602 PARK DR STE B",
            "city": "RALSTON",
            "state": "NE",
            "postal_code": "681273944",
            "telephone_number": "402-614-4622",
            "fax_number": "402-614-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 PARK DR",
            "address_2": "SUITE B",
            "city": "RALSTON",
            "state": "NE",
            "postal_code": "681273944",
            "telephone_number": "402-614-4622",
            "fax_number": "402-614-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME RESPIRATORY WITH HEART",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "JESUS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "402-614-4622",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025827000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ralston, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.