Organization Active NPI

Distinct Home Health Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Richland, MS
National Provider Identifier
1356725972
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
14402/11.1 Issued in MS
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02750768MedicaidMS

Other names 1

  • ROTECH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150925000315 MS DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 5496875882 Practice locations: Richland, MS

National Provider Directory

National Provider Directory
Tax ID family
Distinct Home Health Care Inc7 organizations share this tax ID, including this one
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.

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).

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
Distinct Home Health Care Inc181 Davis Johnson Dr, Richland, MS 39218-9769(601) 503-1553 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 assignmentParticipating since Jan 1, 1998

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.

Verify at the official NPI Registry.