Medco Home Healthcare Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDCO HOME HEALTHCARE INC

Practice address

11010 Arrow Rte
#109
Rancho Cucamonga, CA 91730-4826

Phone

(909) 476-1992

Fax

(909) 476-7747

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Berlinda Phommalayvane

Title

Owner

Phone

(909) 476-1992

Specialties & licenses 1

Addresses

Other names 1

• Medco Healthcare Doing business as

Locations

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1205876935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11010 ARROW RTE",
            "address_2": "#109",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304826",
            "telephone_number": "909-476-1992",
            "fax_number": "909-476-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11010 ARROW RTE",
            "address_2": "#109",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304826",
            "telephone_number": "909-476-1992",
            "fax_number": "909-476-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCO HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "PHOMMALAYVANE",
        "authorized_official_first_name": "BERLINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-476-1992"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medco Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.