3-J Enterprises, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Indianapolis, IN
NPI 1255417218 · NPPES record last updated Apr 19, 2022
Key facts
- NPI
- 1255417218
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- 3-J ENTERPRISES, LLC
- Practice address
- 7340 Shadeland Station
Indianapolis, IN 46256 - Phone
- (317) 813-0205
- NPI assigned
- Oct 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Kevin Gearheart
- Title
- President
- Phone
- (317) 813-4205
Member of 2
National Provider Directory
Locations
709 Highway 70 E
Kingston, OK 73439
Phone (580) 564-4567
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
7340 Shadeland Station
Indianapolis, IN 46256
Mailing address
6365 Castleplace Dr
Indianapolis, IN 46250-1901
Phone (317) 813-4225
Other practice location 1
709 Highway 70 E
Kingston, OK 73439-8253
Phone (580) 564-4567
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100796380A | Medicaid | OK |
Other names
- Rehab Medical Supply
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.