Advanced Respiratory Supplies, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Mountain Home, AR
NPI 1245005305 · NPPES record last updated Oct 19, 2024
Key facts
- NPI
- 1245005305
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ADVANCED RESPIRATORY SUPPLIES, INC.
- Practice address
- 416 W Wade Ave Ste 2
Mountain Home, AR 72653-4623 - Phone
- (501) 766-0859
- NPI assigned
- Nov 20, 2023
- Organization subpart
- No
Authorized official
- Name
- Sarah Knight
- Title
- Owner
- Phone
- (870) 706-2601
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240604004058 | AR | DME Supplier - Medical Supply Company |
1153863261 | Practice locations: Mountain Home, AR |
National Provider Directory
- Tax ID family
- Advanced Respiratory Supplies Inc
Locations
416 W Wade Ave
Ste 2
Mountain Home, AR 72653
Phone (501) 766-0859
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
416 W Wade Ave Ste 2
Mountain Home, AR 72653-4623
Mailing address
1428 Thistledown
Mountain Home, AR 72653-5255
Phone (870) 706-2601
Other providers in Mountain Home, AR
- James Acup
- James Steven Adkerson
- Kevin J Adkins
- Michael Clifton Adkins
- Advanced Medicine of the Ozarks, LTD
- Advanced Respiratory Supplies, Inc.
- John T. Ahrens
- Natalie D Ahrent
- Air Evac EMS Inc
- Deborah Alberts
All providers in Mountain Home, AR · Durable Medical Equipment & Medical Supplies in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.