Avondale HME, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AVONDALE HME, INC.

Practice address

41689 Enterprise Cir N Ste 112
Temecula, CA 92590-5630

Phone

(888) 543-4039

NPI assigned

Jul 27, 2017

Organization subpart

Yes

Parent organization

AVONDALE HME, INC.As reported in NPPES

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

Authorized official

Name

Nicholas Burruss

Title

President

Phone

(888) 543-4039

Specialties & licenses 1

Addresses

Part of

Avondale HME Inc

Locations

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1114441573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41689 ENTERPRISE CIR N STE 112",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41689 ENTERPRISE CIR N STE 112",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905630",
            "telephone_number": "888-543-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVONDALE HME, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVONDALE HME, INC.",
        "enumeration_date": "2017-07-27",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "BURRUSS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-543-4039"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Temecula, CA
• Providers in Temecula, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.