Medical Home Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICAL HOME SUPPLY, INC.

Practice address

1111 W Evans Ave
Unit a
Denver, CO 80223-4058

Phone

(303) 762-1263

Fax

(303) 935-0718

NPI assigned

May 24, 2006

Organization subpart

Yes

Parent organization

BYRAM HEALTHCARE CENTERS, INC.As reported in NPPES

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

Authorized official

Name

Mr. Richard M Smith

Title

Chief Executive Officer

Phone

(914) 286-2000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1255386611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W EVANS AVE",
            "address_2": "UNIT A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802234058",
            "telephone_number": "303-762-1263",
            "fax_number": "303-935-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W EVANS AVE",
            "address_2": "UNIT A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802234058",
            "telephone_number": "303-762-1263",
            "fax_number": "303-935-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HOME SUPPLY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BYRAM HEALTHCARE CENTERS, INC.",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "914-286-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "08100075",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eda Medica, PTA
• Medical Assist, LLC
• Medical Center Corp (Evans Medical Center)
• Medical Center of the Rockies
• Medical Equipment Supplier
• Medical Insights Diagnostic Centers Concord Professional Corporation
• Medical Interpreters LLC
• Medical Man Cave PLLC
• Medilogix, LLC
• Medimed LLC

• Durable Medical Equipment & Medical Supplies in Denver, CO
• Providers in Denver, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.