Active NPI
West Healthcare Inc
- Durable Medical Equipment & Medical Supplies
- Deland, FL
National Provider Identifier
1093789760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WEST HEALTHCARE INC
- Practice address
- 1611 S State Road 15a
Suite 3
Deland, FL 32720-7527 - Phone
- (386) 822-8223
- Fax
- (386) 822-9213
- NPI assigned
- Feb 17, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Cleveland D West
- Title
- President
- Phone
- (386) 822-9223
National Provider Directory
National Provider DirectoryLocations
1611 S State Road 15A
Ste 3
Deland, FL 32720
Phone (386) 822-8223
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1611 S State Road 15a
Suite 3
Deland, FL 32720-7527
Mailing address
PO Box 9720
Tavernier, FL 33070
Phone (305) 852-4393
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022987300 | Medicaid | FL |
Other names 1
NPPES NPI Registry- Sweetwater Medical Central
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 31, 2017.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485820800000",
"number": "1093789760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9720",
"city": "TAVERNIER",
"state": "FL",
"postal_code": "33070",
"telephone_number": "305-852-4393",
"fax_number": "305-852-0861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 S STATE ROAD 15A",
"address_2": "SUITE 3",
"city": "DELAND",
"state": "FL",
"postal_code": "327207527",
"telephone_number": "386-822-8223",
"fax_number": "386-822-9213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-17",
"last_updated": "2017-01-31",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "CLEVELAND",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "386-822-9223"
},
"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": "022987300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sweetwater Medical Central",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.