Palm Grove Medical Supply, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

PALM GROVE MEDICAL SUPPLY, LLC

Practice address

44 W Jefferson St Ste C
Brownsville, TX 78520-6259

Phone

(956) 544-7256

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Laura Grove

Title

Registered Agent

Phone

(956) 832-4468

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1134239502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 W JEFFERSON ST STE C",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206259",
            "telephone_number": "956-544-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 W JEFFERSON ST STE C",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206259",
            "telephone_number": "956-544-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM GROVE MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "GROVE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "956-832-4468"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183591001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183591002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pain and Anesthesia Associates, PLLC (The Headache and Pain Center)
• Elizabeth Palacios, RDN, LD
• Jeanette Marie Palacios, O.T.
• Jose Alberto Palacios
• Sheryl Palacios
• Palm Plus Professional Services PLLC
• Palm Valley Emergency Physician, Specialist PLLC
• Palm Valley Emergency Physicians Specialists PLLC
• Paloma Healthcare LLC
• Panamerican Clinical Research, LLC

• Oxygen Equipment & Supplies (DME) in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.