NPIMap

Organization Active NPI

PL Medical Supply, Inc

Doing business as Productive Life Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • El Paso, TX
National Provider Identifier
1205082658
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PL MEDICAL SUPPLY, INC
Doing business as
Productive Life Medical Supply
Practice address
8899 Alameda Ave Ste 117
El Paso, TX 79907-6288
Phone
(915) 858-8552
Fax
(915) 858-3664
NPI assigned
Aug 15, 2008
Last updated
Jan 4, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PRODUCTIVE LIFE MEDICAL SUPPLY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Mrs. Noemi Villarreal
Title
VP
Phone
(956) 580-7577

Specialties & licenses 3

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

Addresses

Primary practice location

8899 Alameda Ave Ste 117
El Paso, TX 79907-6288

Mailing address

2034 E Griffin Pkwy
Mission, TX 78572-3223
Phone (956) 580-7577

Other identifiers 2

IdentifierTypeStateIssuer
194744201MedicaidTX
194744202MedicaidTX

Other names 1

  • PRODUCTIVE LIFE MEDICAL SUPPLY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930020334 TX DME Supplier - Medical Supply Company 3274738984 Practice locations: El Paso, TX

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
PL Medical Supply Inc8899 Alameda Ave, El Paso, TX 79907-6288(956) 580-7577 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|Canes and/or Crutches|Patient Lifts|Walkers|Wheelchairs (Standard Manual)|Wheelc… Does not accept assignmentParticipating since Apr 9, 2007

National Provider Directory

National Provider Directory
Tax ID family
PL Medical Supply Inc3 organizations share this tax ID, including this one
Part of
PL Medical Supply Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1205082658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723223",
            "telephone_number": "956-580-7577",
            "fax_number": "956-580-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8899 ALAMEDA AVE STE 117",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799076288",
            "telephone_number": "915-858-8552",
            "fax_number": "915-858-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PL MEDICAL SUPPLY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRODUCTIVE LIFE MEDICAL SUPPLY INC.",
        "enumeration_date": "2008-08-15",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "NOEMI",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "956-580-7577",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194744201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194744202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRODUCTIVE LIFE MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRODUCTIVE LIFE MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.