Am Home Medical, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0004000228145701 Issued in WI

Legal business name

AM HOME MEDICAL, INC

Doing business as

Bella Home Medical & Rehab

Practice address

4625 Sheridan Rd
Kenosha, WI 53140-3323

Phone

(262) 657-3333

Fax

(262) 657-6201

NPI assigned

Jun 9, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shelly A Mico

Title

Biller

Phone

(262) 657-3333

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BELLA HOME MEDICAL & REHAB Doing business as

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306840103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 SHERIDAN RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403323",
            "telephone_number": "262-657-3333",
            "fax_number": "262-657-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 SHERIDAN RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403323",
            "telephone_number": "262-657-3333",
            "fax_number": "262-657-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AM HOME MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MICO",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "262-657-3333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "0004000228145701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41748000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELLA HOME MEDICAL & REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.