All Home Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2011027998 Issued in CA

Legal business name

ALL HOME MEDICAL SUPPLY, INC.

Practice address

4150 Convoy St
San Diego, CA 92111-3702

Phone

(800) 388-8184

Fax

(619) 795-1257

NPI assigned

Oct 20, 2011

Last updated

Mar 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeh Mody

Title

President

Phone

(619) 795-0217

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1144505272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 CONVOY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113702",
            "telephone_number": "800-388-8184",
            "fax_number": "619-795-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 CONVOY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113702",
            "telephone_number": "800-388-8184",
            "fax_number": "619-795-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL HOME MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "MODY",
        "authorized_official_first_name": "JEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-795-0217",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "2011027998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME MEDICAL DEVICE RETAIL LICENSE",
            "identifier": "74127",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144505272",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073863",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in San Diego, CA
• Providers in San Diego, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.