Afresh - Respiratory & Home Medical Equipment, PLLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Bellingham, WA
NPI 1215550355 · NPPES record last updated Jul 27, 2021
Key facts
- NPI
- 1215550355
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- AFRESH - RESPIRATORY & HOME MEDICAL EQUIPMENT, PLLC
- Practice address
- 1501 Fraser St.
BLDG M-106
Bellingham, WA 98229-9822 - Phone
- (360) 946-2828
- Fax
- (360) 249-9787
- NPI assigned
- May 23, 2020
- Organization subpart
- No
Authorized official
- Name
- Amrit Kaur, RCP
- Title
- Manager
- Phone
- (360) 946-2828
Practitioners 2
-
Amrit Kaur, LRCP
-
Kelly Melissa Maycumber, LRCP
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Afresh - Respiratory Therapy |
Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Continuous Positive Airway Pressure (CPAP) Devices|High Freq Chest Wall Oscillation Devices/Supplies|Intrapulmonary Percussive Ventilation Devices|Nebulizer Equipment and/or Supplies|Oxygen Equipment and/or Supplies|Respiratory Assist Devi… | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210922001018 | WA | DME Supplier - Medical Supply Company With Respiratory Therapist |
7113324963 | Practice locations: Bellingham, WA |
National Provider Directory
Locations
1501 Fraser St
Bldg M106
Bellingham, WA 98229
Phone (360) 946-2828
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
1501 Fraser St.
BLDG M-106
Bellingham, WA 98229-9822
Mailing address
1501 Fraser St.
BLDG M-106
Bellingham, WA 98229
Phone (360) 946-2828
Other names
- AFresh - Respiratory Therapy Services & Equipment
NPI Registry JSON
{
"created_epoch": "1590192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627344000000",
"number": "1215550355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 FRASER ST.",
"address_2": "BLDG M-106",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "98229",
"telephone_number": "360-946-2828",
"fax_number": "360-249-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 FRASER ST.",
"address_2": "BLDG M-106",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982299822",
"telephone_number": "360-946-2828",
"fax_number": "360-249-9787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFRESH - RESPIRATORY & HOME MEDICAL EQUIPMENT, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-23",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A",
"authorized_official_last_name": "KAUR",
"authorized_official_first_name": "AMRIT",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "360-946-2828",
"authorized_official_credential": "RCP"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AFresh - Respiratory Therapy Services & Equipment",
"code": "3",
"type": "Doing Business As"
}
]
}
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All providers in Bellingham, WA · Durable Medical Equipment & Medical Supplies in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.