Active NPI
Ellis Home Oxygen & Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Abingdon, VA
National Provider Identifier
1265700447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0206009641
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009135618 | Medicaid | VA |
National Provider Directory
National Provider Directory- Tax ID family
- Careplus Medical
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Christiansburg, VA
- NPI 1235260654
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.