3-J Enterprises, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

3-J ENTERPRISES, LLC

Doing business as

Rehab Medical Supply

Practice address

7340 Shadeland Station
Indianapolis, IN 46256

Phone

(317) 813-0205

NPI assigned

Oct 31, 2006

Last updated

Apr 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Gearheart

Title

President

Phone

(317) 813-4205

Specialties & licenses 1

Addresses

Other names 1

• Rehab Medical Supply Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Oms Rehab, LLC

  • Prosthetic/Orthotic Supplier
  • Kansas City, MO
  • NPI 1083005375

  Member Of

  NPD member
• Rehab Medical LLC

  dba Rehab Medical, Inc.

  • Customized Equipment (DME)
  • Pensacola, FL
  • NPI 1497166920

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1255417218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6365 CASTLEPLACE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501901",
            "telephone_number": "317-813-4225",
            "fax_number": "866-699-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 SHADELAND STATION",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46256",
            "telephone_number": "317-813-0205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 Highway 70 E",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "OK",
            "postal_code": "734398253",
            "country_code": "US",
            "telephone_number": "580-564-4567",
            "fax_number": "580-564-4844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "3-J ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "GEARHEART",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-813-4205",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.