Acclaim Medical & Home Care Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

100560 Issued in CA

Legal business name

ACCLAIM MEDICAL & HOME CARE SUPPLY, INC.

Doing business as

Aspen Medical & Home Care Supply

Practice address

539 H St
Chula Vista, CA 91910-4301

Phone

(619) 425-1144

Fax

(619) 425-1339

NPI assigned

Apr 18, 2007

Last updated

Dec 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dana G. Birch

Title

President and General Manager

Phone

(619) 425-1144

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aspen Medical & Home Care Supply Doing business as

Locations

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1215153085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 H STREET",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104301",
            "telephone_number": "619-425-1144",
            "fax_number": "619-425-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 H ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104301",
            "telephone_number": "619-425-1144",
            "fax_number": "619-425-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCLAIM MEDICAL & HOME CARE SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "BIRCH",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT AND GENERAL MANAGER",
        "authorized_official_telephone_number": "619-425-1144"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME00435G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Medical & Home Care Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Chula Vista, CA
• Providers in Chula Vista, 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 Dec 27, 2010; 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.