Active NPI
Fuller Home Solutions LLC.
- Durable Medical Equipment & Medical Supplies
- Medina, TN
National Provider Identifier
1194097642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 676558
- Legal business name
- FULLER HOME SOLUTIONS LLC.
- Practice address
- 91 Milan Highway
Suite D
Medina, TN 38355 - Phone
- (731) 225-8221
- NPI assigned
- Jan 30, 2012
- 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. Harry Dan Fuller Jr.
- Title
- Owner
- Phone
- (731) 225-8221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 676558 | TN | Primary |
Addresses
Primary practice location
91 Milan Highway
Suite D
Medina, TN 38355
Mailing address
4079 Christmasville Rd
Medina, TN 38355-7634
Phone (731) 225-8221
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342051200000",
"number": "1194097642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4079 CHRISTMASVILLE RD",
"city": "MEDINA",
"state": "TN",
"postal_code": "383557634",
"telephone_number": "731-225-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 MILAN HIGHWAY",
"address_2": "SUITE D",
"city": "MEDINA",
"state": "TN",
"postal_code": "38355",
"telephone_number": "731-225-8221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULLER HOME SOLUTIONS LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-30",
"last_updated": "2012-07-12",
"status": "A",
"authorized_official_last_name": "FULLER",
"authorized_official_first_name": "HARRY",
"authorized_official_middle_name": "DAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "731-225-8221",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "676558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medina, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.