Mediquip Rehabilitative Equipment & Supplies Plus LLC

Primary specialty

Nursing Facility Supplies (DME)Taxonomy code 332BN1400X

Legal business name

MEDIQUIP REHABILITATIVE EQUIPMENT & SUPPLIES PLUS LLC

Practice address

808 Pio Nono Ave
Macon, GA 31204-3536

Phone

(478) 742-1300

Fax

(478) 742-1302

NPI assigned

Jan 27, 2012

Last updated

Jan 27, 2012By 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

Ms. Amy L Danielly

Title

Managing Owner

Phone

(478) 742-1300

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1154693778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 PIO NONO AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043536",
            "telephone_number": "478-742-1300",
            "fax_number": "478-742-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 PIO NONO AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043536",
            "telephone_number": "478-742-1300",
            "fax_number": "478-742-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIQUIP REHABILITATIVE EQUIPMENT & SUPPLIES PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "DANIELLY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "478-742-1300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility Supplies (DME) in Macon, GA
• Providers in Macon, GA by specialty
• Nursing Facility Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.