Organization Active NPI

Semed LLC

  • Durable Medical Equipment & Medical Supplies
  • Eagle Pass, TX
National Provider Identifier
1194301689
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SEMED LLC
Practice address
1879 S Veterans Blvd Ste 3
Eagle Pass, TX 78852-6617
Phone
(830) 522-5890
NPI assigned
Mar 23, 2021
Last updated
Mar 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
Mr. Mario L Mendoza
Title
Co-Owner
Phone
(830) 325-1252

Specialties & licenses 1

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

Addresses

Primary practice location

1879 S Veterans Blvd Ste 3
Eagle Pass, TX 78852-6617

Mailing address

1879 S Veterans Blvd Ste 3
Eagle Pass, TX 78852-6617
Phone (830) 522-5890

Other identifiers 1

IdentifierTypeStateIssuer
803740176MedicaidTX

National Provider Directory

National Provider Directory

Locations

1879 S Veterans Blvd
Ste 3
Eagle Pass, TX 78852
Phone (830) 522-5890

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1194301689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 S VETERANS BLVD STE 3",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788526617",
            "telephone_number": "830-522-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 S VETERANS BLVD STE 3",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788526617",
            "telephone_number": "830-522-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "830-325-1252",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "803740176",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.