Active NPI
Med One Healthcare LLC
- Customized Equipment (DME)
- Phoenix, AZ
National Provider Identifier
1295798627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 20031057
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0354352 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 849698 | Medicaid | AZ |
Other names 1
- MED ONE HEALTH CARE LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930075208 | AZ | DME Supplier - Medical Supply Company | 9739398702 | Practice locations: Phoenix, AZ |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Med One Healthcare LLC | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Med One Healthcare LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Infusion Therapy Pharmacy
- Tempe, AZ
- NPI 1467690966
-
- Home Health Agency
- Tempe, AZ
- NPI 1568547305
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.