Organization Active NPI

HC Davenport DME, Inc

  • Durable Medical Equipment & Medical Supplies
  • Davenport, FL
National Provider Identifier
1194242867
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HC DAVENPORT DME, INC
Practice address
108 Park Place Blvd
Suite C
Davenport, FL 33837
Phone
(863) 422-1737
Fax
(407) 681-4603
NPI assigned
Aug 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Nathan B Hill Jr., MDNPI 1265514459
Title
Director/ Ceo
Phone
(863) 422-1737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

108 Park Place Blvd
Suite C
Davenport, FL 33837

Mailing address

108 Park Place Blvd Ste C
Davenport, FL 33837-6877
Phone (863) 422-1737

National Provider Directory

National Provider Directory

Locations

108 Park Place Blvd
Ste C
Davenport, FL 33837
Phone (407) 447-7001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194242867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PARK PLACE BLVD STE C",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376877",
            "telephone_number": "863-422-1737",
            "fax_number": "407-681-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PARK PLACE BLVD",
            "address_2": "SUITE C",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "33837",
            "telephone_number": "863-422-1737",
            "fax_number": "407-681-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HC DAVENPORT DME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR/ CEO",
        "authorized_official_telephone_number": "863-422-1737",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.