Home Again Oxygen and Mobility Products

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1651 Issued in FL

Legal business name

HOME AGAIN OXYGEN AND MOBILITY PRODUCTS

Practice address

25270 Bernwood Dr
Unit 5
Bonita Springs, FL 34135-7897

Phone

(239) 390-1077

Fax

(239) 390-0444

NPI assigned

May 31, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Richard G Headley

Title

Owner

Phone

(239) 390-1077

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1114920410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25270 BERNWOOD DR",
            "address_2": "UNIT 5",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357897",
            "telephone_number": "239-390-1077",
            "fax_number": "239-390-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25270 BERNWOOD DR",
            "address_2": "UNIT 5",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357897",
            "telephone_number": "239-390-1077",
            "fax_number": "239-390-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AGAIN OXYGEN AND MOBILITY PRODUCTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "HEADLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-390-1077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026048700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "R9401",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.