Advantage Home Medical Equipment, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

1175 Issued in FL

Legal business name

ADVANTAGE HOME MEDICAL EQUIPMENT, INC.

Practice address

605 Hwy 41 NW
Jasper, FL 32052

Phone

(386) 792-2224

Fax

(386) 792-2244

NPI assigned

Jun 10, 2005

Last updated

Nov 19, 2009By 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

Mrs. Martha W Butler

Title

Manager

Phone

(386) 792-2224

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1104820844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "320520369",
            "telephone_number": "386-792-2224",
            "fax_number": "386-792-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HWY 41 NW",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "32052",
            "telephone_number": "386-792-2224",
            "fax_number": "386-792-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE HOME MEDICAL EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "386-792-2224",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "1175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951940800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "R8968",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn Allen
• B a R Medical Corporation
• Irvin Carlyle Bembry, M.D.
• Owen J Boales, D.M.D.
• Betty Manning Bridges, NURSE PRACTITIONER

• Oxygen Equipment & Supplies (DME) in Jasper, FL
• Providers in Jasper, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.