Active American Medical Supply Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0107869 Issued in TX

Legal business name

ACTIVE AMERICAN MEDICAL SUPPLY CORP

Doing business as

Active American Mobility and Medical Supply

Practice address

13003 Murphy Rd
Suite G1
Stafford, TX 77477-3956

Phone

(281) 495-4400

Fax

(281) 495-4401

NPI assigned

Aug 20, 2009

Last updated

Aug 20, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

ACTIVE AMERICAN SCOOTER COMPANYAs reported in NPPES

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

Authorized official

Name

Mr. Solomon Lowell Adams

Title

Vice President

Phone

(281) 495-4400

Specialties & licenses 2

Addresses

Other names 1

• Active American Mobility and Medical Supply Doing business as

Part of

Active American Scooter Co

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Isaac McDaniel, ATP

  • Other Technician
  • Stafford, TX
  • NPI 1962796722
  NPD (past)
• James William Wilchester Jr., ATP

  • Other Technician
  • Stafford, TX
  • NPI 1740543883
  NPD (past)

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1124250386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13003 MURPHY RD",
            "address_2": "SUITE G1",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773956",
            "telephone_number": "281-495-4400",
            "fax_number": "281-495-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13003 MURPHY RD",
            "address_2": "SUITE G1",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773956",
            "telephone_number": "281-495-4400",
            "fax_number": "281-495-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE AMERICAN MEDICAL SUPPLY CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTIVE AMERICAN SCOOTER COMPANY",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_middle_name": "LOWELL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "281-495-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0107869",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "0107869",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active American Mobility and Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Acoson Healthcare Services, Inc
• Acoson Healthcare Services, Inc
• Acp Health Care Resources, Inc.
• Acquire Home Health, LLC
• Activa Healthcare Incorporated
• Active American Scooter Co. (Active American Mobility and Medical Supply)
• Adaiah Activity Center
• Adametrix Solutions, LLC (Health and Wellness Pharmacy)
• Cedrice Adams, LMT
• Tamarind Tanai Adams, DC

• Durable Medical Equipment & Medical Supplies in Stafford, TX
• Providers in Stafford, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.