Organization Active NPI

Extreme Property Solutions

  • Durable Medical Equipment & Medical Supplies
  • Reddick, FL
National Provider Identifier
1285022830
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EXTREME PROPERTY SOLUTIONS
Practice address
12640 NW 90TH Ave
Reddick, FL 32686-4433
Phone
(352) 639-4611
Fax
(877) 428-6564
NPI assigned
Jan 6, 2015
Last updated
Jan 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Authorized official

Name
Mrs. Amanda Stout
Title
Coo
Phone
(317) 777-7751

Specialties & licenses 1

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

Addresses

Primary practice location

12640 NW 90TH Ave
Reddick, FL 32686-4433

Mailing address

12640 NW 90TH Ave
Reddick, FL 32686-4433
Phone (352) 639-4611

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1285022830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12640 NW 90TH AVE",
            "city": "REDDICK",
            "state": "FL",
            "postal_code": "326864433",
            "telephone_number": "352-639-4611",
            "fax_number": "877-428-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12640 NW 90TH AVE",
            "city": "REDDICK",
            "state": "FL",
            "postal_code": "326864433",
            "telephone_number": "352-639-4611",
            "fax_number": "877-428-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTREME PROPERTY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "317-777-7751",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reddick, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.