Organization Active NPI

Coast to Coast Home Medical

Doing business as Hometown Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Mena, AR
National Provider Identifier
1114004710
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COAST TO COAST HOME MEDICAL
Doing business as
Hometown Medical Supply
Practice address
300B Crestwood Cir
Mena, AR 71953-5515
Phone
(479) 394-1833
NPI assigned
Nov 1, 2006
Last updated
Oct 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Mrs. Keri Suess, PRESIDENT
Title
President
Phone
(479) 394-1833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

300B Crestwood Cir
Mena, AR 71953-5515

Mailing address

300B Crestwood Cir
Mena, AR 71953-5515
Phone (479) 394-1833

Other names 1

  • Hometown Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

221 Old Hendersonville Rd
#B
Fletcher, NC 28732

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1114004710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300B CRESTWOOD CIR",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719535515",
            "telephone_number": "479-394-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300B CRESTWOOD CIR",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719535515",
            "telephone_number": "479-394-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST TO COAST HOME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "SUESS",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-394-1833",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.