Active NPI
Corner Homecare
- Oxygen Equipment & Supplies (DME)
- Paducah, KY
National Provider Identifier
1174737860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- CORNER HOMECARE
- Practice address
- 546 Lone Oak Rd
Paducah, KY 42003-4538 - Phone
- (270) 443-3311
- Fax
- (270) 442-7710
- NPI assigned
- May 10, 2007
- Last updated
- Aug 18, 2008
- 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. Steve K Ppool, RPH
- Title
- Ceo
- Phone
- (270) 365-3903
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | P02404 | KY | |
| Customized Equipment (DME) | 332BC3200X | NU | ||
| Nursing Facility Supplies (DME) | 332BN1400X | NU | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | NU | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | NU | Primary | |
| Pharmacy | 333600000X | NU | ||
| Prosthetic/Orthotic Supplier | 335E00000X | NU |
Addresses
Primary practice location
546 Lone Oak Rd
Paducah, KY 42003-4538
Mailing address
108 E Washington St
Princeton, KY 42445-2250
Phone (270) 365-3903
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54005335 | Medicaid | KY | |
| 54029509 | Medicaid | KY | |
| 90310731 | Medicaid | KY | |
| 45001559 | Medicaid | KY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219017600000",
"number": "1174737860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 E WASHINGTON ST",
"city": "PRINCETON",
"state": "KY",
"postal_code": "424452250",
"telephone_number": "270-365-3903",
"fax_number": "270-365-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "546 LONE OAK RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420034538",
"telephone_number": "270-443-3311",
"fax_number": "270-442-7710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNER HOMECARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2008-08-18",
"status": "A",
"authorized_official_last_name": "PPOOL",
"authorized_official_first_name": "STEVE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "270-365-3903",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": "P02404",
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54005335",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54029509",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90310731",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45001559",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.