Active NPI
S S Brown Enterprises LLC
- Durable Medical Equipment & Medical Supplies
- Murray, KY
National Provider Identifier
1144373218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- P07016
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90009903 | Medicaid | KY |
Other names 1
- MEDICAL ARTS HOME MEDICAL
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110427000238 | KY | DME Supplier - Pharmacy | 9931384427 | Practice locations: Murray, KY |
National Provider Directory
National Provider DirectoryLocations
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.