Organization Active NPI

Homecare Medical Equipment

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Alice, TX
National Provider Identifier
1093823296
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
0034193 Issued in TX
Legal business name
HOMECARE MEDICAL EQUIPMENT
Practice address
717 Flournoy Rd
Alice, TX 78332-4003
Phone
(361) 664-0991
Fax
(361) 664-4999
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Mr. Ronald A. Benavidez
Title
Owner
Phone
(361) 664-0991

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X TX0011732 TX
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 0034193 TX Primary

Addresses

Primary practice location

717 Flournoy Rd
Alice, TX 78332-4003

Mailing address

717 Flournoy Rd
Alice, TX 78332-4003
Phone (361) 664-0991

Other identifiers 2

IdentifierTypeStateIssuer
010131301MedicaidTX
011583401MedicaidTX

National Provider Directory

National Provider Directory

Locations

717 Flournoy Rd
Alice, TX 78332
Phone (361) 664-0991

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1093823296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 FLOURNOY RD",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324003",
            "telephone_number": "361-664-0991",
            "fax_number": "361-664-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 FLOURNOY RD",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324003",
            "telephone_number": "361-664-0991",
            "fax_number": "361-664-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "BENAVIDEZ",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-664-0991",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "TX0011732",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0034193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010131301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011583401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.