Organization Active NPI

S S Brown Enterprises LLC

  • Durable Medical Equipment & Medical Supplies
  • Murray, KY
National Provider Identifier
1144373218
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
P07016 Issued in KY
Legal business name
S S BROWN ENTERPRISES LLC
Doing business as
MEDICAL ARTS HOME MEDICAL
Practice address
300 S 8TH St Ste 104E
Murray, KY 42071-2444
Phone
(270) 753-4990
Fax
(270) 753-7913
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Authorized official

Name
Mr. Samuel S Brown
Title
Member
Phone
(270) 753-4990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X P07016 KY Primary

Addresses

Primary practice location

300 S 8TH St Ste 104E
Murray, KY 42071-2444

Mailing address

300 S 8TH St Ste 104E
Murray, KY 42071-2444
Phone (270) 753-4990

Other identifiers 1

IdentifierTypeStateIssuer
90009903MedicaidKY

Other names 1

  • MEDICAL ARTS HOME MEDICAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110427000238 KY DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Medical Supply Company 9931384427 Practice locations: Murray, KY

National Provider Directory

National Provider Directory

Locations

300 S 8th St
Ste 104E
Murray, KY 42071
Phone (270) 753-4990

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1144373218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST STE 104E",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712444",
            "telephone_number": "270-753-4990",
            "fax_number": "270-753-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST STE 104E",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712444",
            "telephone_number": "270-753-4990",
            "fax_number": "270-753-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S S BROWN ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "270-753-4990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "P07016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90009903",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL ARTS HOME MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDICAL ARTS HOME MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murray, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.