Active NPI
Signature Provider Services LLC
Doing business as HomeNow Medical Supplies
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
National Provider Identifier
1265616825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SIGNATURE PROVIDER SERVICES LLC
- Doing business as
- HomeNow Medical Supplies
- Practice address
- 9815 Brownsboro Rd
Suite #102
Louisville, KY 40241-1125 - Phone
- (502) 568-7800
- Fax
- (502) 568-7150
- NPI assigned
- Dec 19, 2007
- Organization subpart
- Yes
- Parent organization
- SIGNATURE HEALTHCARE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Harrison
- Title
- Cfo
- Phone
- (502) 568-7338
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | KY | Primary | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 69001112A | IN | |
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
9815 Brownsboro Rd
Suite #102
Louisville, KY 40241-1125
Mailing address
9815 Brownsboro Rd
Suite #102
Louisville, KY 40241-1125
Phone (502) 568-7338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100227900 | Medicaid | KY |
Other names 1
- HomeNow Medical Supplies
National Provider Directory
National Provider Directory- Part of
- Signature Healthcare LLC
Locations
9815 Brownsboro Rd
Ste 102
Louisville, KY 40241
Phone (502) 568-7338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470182400000",
"number": "1265616825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9815 BROWNSBORO RD",
"address_2": "SUITE #102",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402411125",
"telephone_number": "502-568-7338",
"fax_number": "502-568-7954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9815 BROWNSBORO RD",
"address_2": "SUITE #102",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402411125",
"telephone_number": "502-568-7800",
"fax_number": "502-568-7150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIGNATURE PROVIDER SERVICES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SIGNATURE HEALTHCARE LLC",
"enumeration_date": "2007-12-19",
"last_updated": "2016-08-03",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "502-568-7338",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IN",
"license": "69001112A",
"primary": false
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100227900",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HomeNow Medical Supplies",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.