Organization Active NPI

Fuller Home Solutions LLC.

  • Durable Medical Equipment & Medical Supplies
  • Medina, TN
National Provider Identifier
1194097642
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
676558 Issued in TN
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

Updated by the provider on Jul 12, 2012

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.