Organization Active NPI

Med One Healthcare LLC

  • Customized Equipment (DME)
  • Phoenix, AZ
National Provider Identifier
1295798627
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
20031057 Issued in AZ
Legal business name
MED ONE HEALTHCARE LLC
Doing business as
Med One Health Care LLC
Practice address
2401 W Peoria Ave
Ste 100
Phoenix, AZ 85029
Phone
(480) 835-9100
Fax
(480) 835-9104
NPI assigned
Apr 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Brian Murphy
Title
President
Phone
(480) 835-9100

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4009 AZ
Customized Equipment (DME) 332BC3200X 20031057 AZ Primary
Pharmacy 333600000X 4009 AZ
Home Infusion Therapy Pharmacy 3336H0001X

Addresses

Primary practice location

2401 W Peoria Ave
Ste 100
Phoenix, AZ 85029

Mailing address

2401 W Peoria Ave
Ste 100
Phoenix, AZ 85029
Phone (480) 835-9100

Other identifiers 2

IdentifierTypeStateIssuer
0354352OtherNCPDP PROVIDER IDENTIFICATION NUMBER
849698MedicaidAZ

Other names 1

  • MED ONE HEALTH CARE LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930075208 AZ DME Supplier - Medical Supply Company 9739398702 Practice locations: Phoenix, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Med One Healthcare LLC2401 W Peoria Ave, Phoenix, AZ 85029-4790(480) 835-9100 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Insulin Infusion Pumps and/or Supplies|Pneumatic Compression Devices and/or Supplies|Speech Generating Devices|… Does not accept assignmentParticipating since Feb 16, 2004

National Provider Directory

National Provider Directory
Tax ID family
Med One Healthcare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2401 W Peoria Ave
Ste 100
Phoenix, AZ 85029
Phone (480) 835-9100

2330 W University Dr
Ste 20
Tempe, AZ 85281
Phone (480) 835-9100

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1295798627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W PEORIA AVE",
            "address_2": "STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85029",
            "telephone_number": "480-835-9100",
            "fax_number": "480-835-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W PEORIA AVE",
            "address_2": "STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85029",
            "telephone_number": "480-835-9100",
            "fax_number": "480-835-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED ONE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2023-03-07",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-835-9100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "4009",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AZ",
            "license": "20031057",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AZ",
            "license": "4009",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0354352",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "849698",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED ONE HEALTH CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MED ONE HEALTH CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.