Organization Active NPI

Eberhart Home Health Inc

  • Durable Medical Equipment & Medical Supplies
  • Farmington, NM
National Provider Identifier
1083888283
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EBERHART HOME HEALTH INC
Practice address
3751 N Butler Ave
Suite 107
Farmington, NM 87401-6435
Phone
(505) 716-4238
Fax
(505) 326-5042
NPI assigned
Apr 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
John Eberhart, RCP/RRT
Title
President/Ceo
Phone
(949) 367-1868

Specialties & licenses 1

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

Addresses

Primary practice location

3751 N Butler Ave
Suite 107
Farmington, NM 87401-6435

Mailing address

3751 N Butler Ave
Suite 107
Farmington, NM 87401-6435
Phone (505) 716-4238

Other identifiers 1

IdentifierTypeStateIssuer
50553569MedicaidNM

National Provider Directory

National Provider Directory

Locations

3751 N Butler Ave
Ste 107
Farmington, NM 87401
Phone (505) 716-4238

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1083888283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 N BUTLER AVE",
            "address_2": "SUITE 107",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016435",
            "telephone_number": "505-716-4238",
            "fax_number": "505-326-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 N BUTLER AVE",
            "address_2": "SUITE 107",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016435",
            "telephone_number": "505-716-4238",
            "fax_number": "505-326-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBERHART HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "EBERHART",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "949-367-1868",
        "authorized_official_credential": "RCP/RRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50553569",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.