Bluebonnet Durable Medical Equipment & Supplies LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Roma, TX
NPI 1154374528 · NPPES record last updated Jun 27, 2023
Key facts
- NPI
- 1154374528
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 0012948 (TX)
- Legal business name
- BLUEBONNET DURABLE MEDICAL EQUIPMENT & SUPPLIES LLC
- Practice address
- 507 N Grant St Ste 1
Roma, TX 78584-5302 - Phone
- (956) 849-1044
- Fax
- (956) 849-7455
- NPI assigned
- May 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Desi Michael Ramos
- Title
- Owner
- Phone
- (956) 849-1044
Practitioners 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Bluebonnet DME LLC |
Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Whee… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930032767 | TX | DME Supplier - Medical Supply Company |
1759582042 | Practice locations: Roma, TX |
National Provider Directory
Locations
507 N Grant St
Ste 1
Roma, TX 78584
Phone (956) 849-1044
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0012948 | TX | Yes |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 0070690 | TX | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 0070690 | TX |
Addresses
Primary practice location
507 N Grant St Ste 1
Roma, TX 78584-5302
Mailing address
507 N Grant St Ste 1
Roma, TX 78584-5302
Phone (956) 849-1044
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162723403 | Medicaid | TX |
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All providers in Roma, TX · Durable Medical Equipment & Medical Supplies in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.