Linray Home Medical Supplies of Elkhart

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0122971078 Issued in IN

Legal business name

LINRAY HOME MEDICAL SUPPLIES OF ELKHART

Practice address

23672 Old US 20
Suites G and H
Elkhart, IN 46516-5584

Phone

(574) 522-5706

Fax

(574) 522-5762

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Freshour

Title

President/Owner

Phone

(574) 522-5706

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265480982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56595 PINECREST DR",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169157",
            "telephone_number": "574-295-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23672 OLD US 20",
            "address_2": "SUITES G AND H",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465165584",
            "telephone_number": "574-522-5706",
            "fax_number": "574-522-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINRAY HOME MEDICAL SUPPLIES OF ELKHART",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRESHOUR",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "574-522-5706",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "0122971078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.