Organization Active NPI

Medical Products Group, LLC

Doing business as Family Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
National Provider Identifier
1174081483
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL PRODUCTS GROUP, LLC
Doing business as
Family Home Medical Equipment
Practice address
2202 Buechel Ave Ste 101
Louisville, KY 40218-2672
Phone
(630) 462-6770
NPI assigned
Mar 5, 2019
Last updated
Mar 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Dr. Osawaru Omoruyi, MD
Title
Owner
Phone
(630) 462-6770

Specialties & licenses 1

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

Addresses

Primary practice location

2202 Buechel Ave Ste 101
Louisville, KY 40218-2672

Mailing address

PO Box 43842
Louisville, KY 40253-0842
Phone (630) 462-6770

Other names 1

  • Family Home Medical Equipment Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201113000408 KY DME Supplier - Medical Supply Company 5799987152 Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2202 Buechel Ave
Louisville, KY 40218
Phone 50233829642672

2202 Buechel Ave
Ste 101
Louisville, KY 40218
Phone (630) 462-6770

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1174081483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43842",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402530842",
            "telephone_number": "630-462-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 BUECHEL AVE STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182672",
            "telephone_number": "630-462-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PRODUCTS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "OMORUYI",
        "authorized_official_first_name": "OSAWARU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-462-6770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.