Serc of Harrisonville, L.L.C.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SERC OF HARRISONVILLE, L.L.C.

Doing business as

SERC of Harrisonville

Practice address

815 Westchester Avenue
Harrisonville, MO 64701

Phone

(816) 380-3344

Fax

(816) 380-3044

NPI assigned

May 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sherry A Purvis, PT

Title

Owner, Manager, Physical Therapist

Phone

(816) 380-3344

Specialties & licenses 1

Addresses

Other names 1

• SERC of Harrisonville Doing business as

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093920639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 WESTCHESTER AVENUE",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "64701",
            "telephone_number": "816-380-3344",
            "fax_number": "816-380-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 WESTCHESTER AVENUE",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "64701",
            "telephone_number": "816-380-3344",
            "fax_number": "816-380-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERC OF HARRISONVILLE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PURVIS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER, MANAGER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "816-380-3344",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERC of Harrisonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Harrisonville, MO
• Providers in Harrisonville, MO by specialty
• Customized Equipment (DME) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.