Open-Heaven Medical Supply LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

6043840001 Issued in TX

Legal business name

OPEN-HEAVEN MEDICAL SUPPLY LLC

Practice address

860 Hebron Pkwy
Suite 502
Lewisville, TX 75057-5003

Phone

(972) 459-5555

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Paul Olalekan Amosun

Title

Office Manager

Phone

(972) 459-5555

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kehinde Romoke Amosun, FNP

  • Family Nurse Practitioner
  • Lewisville, TX
  • NPI 1295376630
  NPD (past)

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1093998916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 HEBRON PKWY",
            "address_2": "SUITE 502",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575003",
            "telephone_number": "972-459-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 HEBRON PKWY",
            "address_2": "SUITE 502",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575003",
            "telephone_number": "972-459-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN-HEAVEN MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "AMOSUN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "OLALEKAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-459-5555"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "N/A",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "6043840001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.