Organization Active NPI

Jrac Holdings LLC

  • Durable Medical Equipment & Medical Supplies
  • Suwanee, GA
National Provider Identifier
1194187971
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JRAC HOLDINGS LLC
Doing business as
Omni Medical Solutions
Practice address
990 Peachtree Industrial Blvd
Suite 333
Suwanee, GA 30024-5257
Phone
(678) 761-4299
NPI assigned
Mar 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Andrew Cappello
Title
Managing Director
Phone
(678) 761-4299

Specialties & licenses 1

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

Addresses

Primary practice location

990 Peachtree Industrial Blvd
Suite 333
Suwanee, GA 30024-5257

Mailing address

990 Peachtree Industrial Blvd
Suite 333
Suwanee, GA 30024-5257

Other names 1

  • Omni Medical Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

990 Peachtree Industrial Blvd
Unit 333
Suwanee, GA 30024
Phone (678) 761-4299

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1194187971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 333",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 333",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245257",
            "telephone_number": "678-761-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRAC HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "CAPPELLO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "678-761-4299"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Medical Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.