Organization Active NPI

Ellis Home Oxygen & Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Abingdon, VA
National Provider Identifier
1265700447
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0206009641 Issued in VA
Legal business name
ELLIS HOME OXYGEN & MEDICAL EQUIPMENT
Practice address
329A Cummings St
Abingdon, VA 24210-3207
Phone
(276) 619-0060
Fax
(276) 619-0061
NPI assigned
Dec 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Authorized official

Name
Mr. Pamela W Ellis, RN/WHNP-BC
Title
Assistant to the President
Phone
(276) 619-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0206009641 VA Primary

Addresses

Primary practice location

329A Cummings St
Abingdon, VA 24210-3207

Mailing address

329A Cummings St
Abingdon, VA 24210-3207
Phone (276) 619-0060

Other identifiers 1

IdentifierTypeStateIssuer
009135618MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Careplus Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

329A Cummings St
Abingdon, VA 24210
Phone (276) 619-0060

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1265700447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329A CUMMINGS ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242103207",
            "telephone_number": "276-619-0060",
            "fax_number": "276-619-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329A CUMMINGS ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242103207",
            "telephone_number": "276-619-0060",
            "fax_number": "276-619-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS HOME OXYGEN & MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT TO THE PRESIDENT",
        "authorized_official_telephone_number": "276-619-0060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN/WHNP-BC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0206009641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009135618",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.