Homelife Oxygen, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HOMELIFE OXYGEN, LLC

Practice address

1675 N Shelby Oaks Dr
Suite #1
Memphis, TN 38134-7430

Phone

(901) 373-3503

Fax

(901) 372-3610

NPI assigned

Nov 15, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Neil Foust, RRT, BPS

Title

Chief Manager/Owner

Phone

(901) 373-3503

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114909330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CYPRESS CRK",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649747",
            "telephone_number": "870-739-4033",
            "fax_number": "901-372-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 N SHELBY OAKS DR",
            "address_2": "SUITE #1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347430",
            "telephone_number": "901-373-3503",
            "fax_number": "901-372-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMELIFE OXYGEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOUST",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "CHIEF MANAGER/OWNER",
        "authorized_official_telephone_number": "901-373-3503",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT, BPS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452198",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440365",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3016454",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.