Organization Active NPI

Spearhead Home Medical LLC

Doing business as Spearhead Home Medical

  • Durable Medical Equipment & Medical Supplies
  • Amarillo, TX
National Provider Identifier
1215227798
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SPEARHEAD HOME MEDICAL LLC
Doing business as
Spearhead Home Medical
Practice address
6817 Wolflin Ave Ste 2
Amarillo, TX 79106-2176
Phone
(806) 418-4706
NPI assigned
Apr 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Authorized official

Name
Mrs. Janice Sue Spaits
Title
President
Phone
(314) 323-3977

Specialties & licenses 1

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

Addresses

Primary practice location

6817 Wolflin Ave Ste 2
Amarillo, TX 79106-2176

Mailing address

6817 Wolflin Ave Ste 2
Amarillo, TX 79106-2176
Phone (806) 418-4706

Other identifiers 7

IdentifierTypeStateIssuer
2884447-02MedicaidTX
200416730AOtherOKOKLAHOMA MEDICAID
533556OtherTXBCBS
2884447-01MedicaidTX
58475273OtherNMNEW MEXICO MEDICAID
01613306OtherTXAMERIGROUP
288444702OtherTXSUPERIOR HEALTH PLAN

Other names 1

  • Spearhead Home Medical Doing business as

National Provider Directory

National Provider Directory

Locations

6817 Wolflin Ave
Ste 2
Amarillo, TX 79106
Phone (806) 418-4706

NPI Registry JSON

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1215227798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 WOLFLIN AVE STE 2",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062176",
            "telephone_number": "806-418-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 WOLFLIN AVE STE 2",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062176",
            "telephone_number": "806-418-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEARHEAD HOME MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-18",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "SPAITS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-323-3977",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "2884447-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA MEDICAID",
            "identifier": "200416730A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "533556",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2884447-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO MEDICAID",
            "identifier": "58475273",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01613306",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH PLAN",
            "identifier": "288444702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spearhead Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.