Organization Active NPI

Gulf Coast DME LLC

  • Oxygen Equipment & Supplies (DME)
  • Houston, TX
National Provider Identifier
1093339046
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
GULF COAST DME LLC
Practice address
6200 Savoy Dr Ste 1202
Houston, TX 77036-3397
Phone
(480) 648-0848
NPI assigned
Jun 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Authorized official

Name
Jenna Ross
Title
President
Phone
(480) 495-5644

Specialties & licenses 1

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

Addresses

Primary practice location

6200 Savoy Dr Ste 1202
Houston, TX 77036-3397

Mailing address

PO Box 735248
Dallas, TX 75373-5248
Phone (480) 648-0848

National Provider Directory

National Provider Directory

Locations

11822 Justice Ave
Ste B6
Baton Rouge, LA 70816

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1093339046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735248",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753735248",
            "telephone_number": "480-648-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SAVOY DR STE 1202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363397",
            "telephone_number": "480-648-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-495-5644"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.