Organization Active NPI

Hospital Equipment and Home Nutritional Therapy, Inc

  • Durable Medical Equipment & Medical Supplies
  • Bessemer, AL
National Provider Identifier
1184616906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
05001347 Issued in AL
Legal business name
HOSPITAL EQUIPMENT AND HOME NUTRITIONAL THERAPY, INC
Doing business as
Advanced Home Medical Equipment
Practice address
727 Memorial Dr
Bessemer, AL 35022-6029
Phone
(205) 428-5113
Fax
(205) 424-6786
NPI assigned
Aug 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles Ray Wall, RPH
Title
President
Phone
(205) 428-5113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 05001347 AL Primary

Addresses

Primary practice location

727 Memorial Dr
Bessemer, AL 35022-6029

Mailing address

119 Highlander Dr
Hueytown, AL 35023-2720
Phone (205) 491-6836

Other identifiers 2

IdentifierTypeStateIssuer
56588OtherALBLUE CROSS BLUE SHIELD
1404366OtherALUMWA

Other names 1

  • Advanced Home Medical Equipment Doing business as

National Provider Directory

National Provider Directory

Locations

727 Memorial Dr
Bessemer, AL 35022
Phone (205) 332-3160

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184616906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HIGHLANDER DR",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350232720",
            "telephone_number": "205-491-6836",
            "fax_number": "205-424-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 MEMORIAL DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226029",
            "telephone_number": "205-428-5113",
            "fax_number": "205-424-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL EQUIPMENT AND HOME NUTRITIONAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-428-5113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "05001347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "56588",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1404366",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.