Active NPI
Distinct Home Health Care Inc
- Durable Medical Equipment & Medical Supplies
- Richland, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 14402/11.1
- Legal business name
- DISTINCT HOME HEALTH CARE INC
- Practice address
- 181 Davis Johnson Dr Ste a
Richland, MS 39218-9769 - Phone
- (601) 503-1553
- Fax
- (601) 939-9345
- NPI assigned
- Jul 14, 2015
- Organization subpart
- Yes
- Parent organization
- ROTECH HEALTHCARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Robin L Menchen
- Title
- Chief Executive Officer
- Phone
- (407) 822-4600
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 14402/11.1 | MS | Primary |
| Customized Equipment (DME) | 332BC3200X | 14402/11.1 | MS | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 14402/11.1 | MS | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 14402/11.1 | MS | |
| Prosthetic/Orthotic Supplier | 335E00000X | 14402/11.1 | MS |
Addresses
Primary practice location
181 Davis Johnson Dr Ste a
Richland, MS 39218-9769
Mailing address
PO Box 27968
Salt Lake City, UT 84127-0968
Phone (407) 246-1226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02750768 | Medicaid | MS |
Other names 1
- ROTECH
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150925000315 | MS | DME Supplier - Medical Supply Company | 5496875882 | Practice locations: Richland, MS |
National Provider Directory
National Provider Directory- Tax ID family
- Distinct Home Health Care Inc
- Part of
- Rotech Healthcare Inc
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Gulfport, MS
- NPI 1225018963
-
- Durable Medical Equipment & Medical Supplies
- Atlanta, TX
- NPI 1629048558
-
- Durable Medical Equipment & Medical Supplies
- Longview, TX
- NPI 1649240581
-
- Durable Medical Equipment & Medical Supplies
- Bossier City, LA
- NPI 1700866423
-
- Durable Medical Equipment & Medical Supplies
- Texarkana, TX
- NPI 1851371496
-
- Durable Medical Equipment & Medical Supplies
- Natchitoches, LA
- NPI 1861472599
Locations
1919 Benton Rd
Bossier City, LA 71111
Phone (318) 752-2112
820 Keyser Ave
Natchitoches, LA 71457
Phone (318) 357-1266
112 S Trenton St
Ruston, LA 71270
Phone (318) 251-8300
9162 Mansfield Rd
Shreveport, LA 71118
Phone (318) 688-4080
10394 Express Dr
Gulfport, MS 39503
Phone (228) 897-1834
199 Interstate Dr
Ste S
Richland, MS 39218
4070 Summerhill Sq
Ste C
Texarkana, TX 75503
Phone (903) 792-0966
Ownership & related parties
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Gulfport, MS
- NPI 1225018963
5496875882
-
- Durable Medical Equipment & Medical Supplies
- Atlanta, TX
- NPI 1629048558
5496875882
-
- Durable Medical Equipment & Medical Supplies
- Longview, TX
- NPI 1649240581
5496875882
-
- Durable Medical Equipment & Medical Supplies
- Bossier City, LA
- NPI 1700866423
5496875882
-
- Durable Medical Equipment & Medical Supplies
- Texarkana, TX
- NPI 1851371496
5496875882
-
- Durable Medical Equipment & Medical Supplies
- Natchitoches, LA
- NPI 1861472599
5496875882
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 |
|---|---|---|
| Distinct Home Health Care Inc | Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|External Infusion Pumps and/or Supplies|Ins… | Does not accept assignment |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708905600000",
"number": "1356725972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27968",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270968",
"telephone_number": "407-246-1226",
"fax_number": "407-648-2297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 DAVIS JOHNSON DR STE A",
"city": "RICHLAND",
"state": "MS",
"postal_code": "392189769",
"telephone_number": "601-503-1553",
"fax_number": "601-939-9345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISTINCT HOME HEALTH CARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ROTECH HEALTHCARE INC",
"enumeration_date": "2015-07-14",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A",
"authorized_official_last_name": "MENCHEN",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "407-822-4600",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MS",
"license": "14402/11.1",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "MS",
"license": "14402/11.1",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "MS",
"license": "14402/11.1",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "MS",
"license": "14402/11.1",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "MS",
"license": "14402/11.1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02750768",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ROTECH",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Richland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.