Organization Active NPI

Tanglewood Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Stephenville, TX
National Provider Identifier
1194771436
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TANGLEWOOD MEDICAL SUPPLIES, INC.
Practice address
2445 Senator Robert J Glasgow Loop Ste B
Stephenville, TX 76401-1705
Phone
(254) 968-6999
Fax
(254) 968-6167
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Mr. Edmund Case Horton, MSNPI 1104216886
Title
Director
Phone
(254) 968-6999

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

2445 Senator Robert J Glasgow Loop Ste B
Stephenville, TX 76401-1705

Mailing address

2445 Senator Robert J Glasgow Loop Ste B
Stephenville, TX 76401-1705
Phone (254) 968-6999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930078032 TX DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 7113047606 Practice locations: Stephenville, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Tanglewood Medical Supplies2445 Senator Robert J Glasgow Loop, Stephenville, TX 76401-1705(254) 968-6999 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Man… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

2445 Senator Robert J Glasgow Loop
Ste B
Stephenville, TX 76401
Phone (254) 968-6999

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": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1194771436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 SENATOR ROBERT J GLASGOW LOOP STE B",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011705",
            "telephone_number": "254-968-6999",
            "fax_number": "254-968-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 SENATOR ROBERT J GLASGOW LOOP STE B",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011705",
            "telephone_number": "254-968-6999",
            "fax_number": "254-968-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGLEWOOD MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "CASE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "254-968-6999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.