NPIMap

Organization Active NPI

P & R Home IV Service, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Defiance, OH
National Provider Identifier
1265857924
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
HMER22206 Issued in OH
Legal business name
P & R HOME IV SERVICE, INC.
Doing business as
P & R MEDICAL CONNECTION
Practice address
1018 Ralston Avenue
Suite 107
Defiance, OH 43512
Phone
(866) 782-2857
Fax
(419) 782-3765
NPI assigned
Mar 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Mrs. Robin Sue Farris
Title
Secretary/Treasurer
Phone
(800) 587-7670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X HMER22206 OH Primary

Addresses

Primary practice location

1018 Ralston Avenue
Suite 107
Defiance, OH 43512

Mailing address

16937 Defiance TRL
Van Wert, OH 45891-8619
Phone (800) 587-7670

Other names 1

  • P & R MEDICAL CONNECTION Doing business as

National Provider Directory

National Provider Directory
Tax ID family
P R Home IV Service Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1018 Ralston Ave
Ste 107
Defiance, OH 43512
Phone (419) 534-0896

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1265857924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16937 DEFIANCE TRL",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458918619",
            "telephone_number": "800-587-7670",
            "fax_number": "419-587-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 RALSTON AVENUE",
            "address_2": "SUITE 107",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "43512",
            "telephone_number": "866-782-2857",
            "fax_number": "419-782-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & R HOME IV SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "800-587-7670",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OH",
            "license": "HMER22206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P & R MEDICAL CONNECTION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Defiance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.