Archer-Rose, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

ARCHER-ROSE, LLC

Practice address

1408 E Main St Ste 200
Fredericksburg, TX 78624-5376

Phone

(830) 990-4775

Fax

(830) 990-7597

NPI assigned

Jun 26, 2014

Organization subpart

No

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

Authorized official

Name

Casey Slay Harris

Title

Owner

Phone

(830) 990-4775

Specialties & licenses 1

Addresses

Other names 1

• Fredericksburg Medical Equipment Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Archer-Rose, LLC

  • Oxygen Equipment & Supplies (DME)
  • Kerrville, TX
  • NPI 1659846798

  0042439556

  Same PAC ID

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

Tax ID family

Archer-Rose LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Archer-Rose, LLC

  • Oxygen Equipment & Supplies (DME)
  • Kerrville, TX
  • NPI 1659846798
  NPD tax ID

Locations

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1366857591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 E MAIN ST STE 200",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245376",
            "telephone_number": "830-990-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 E MAIN ST STE 200",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245376",
            "telephone_number": "830-990-4775",
            "fax_number": "830-990-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHER-ROSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "SLAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-990-4775"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fredericksburg Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fredericksburg Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kara Ellen Anderson
• Gregory D. Andreassian, M.D.,P.A.
• Apryl Andrews, DPT
• Anesthesia Consultants of Fredericksburg
• Ann E. Barsch, Audiologist, P.C.
• Levi Helleon Areel, LPTA
• Ascent Therapy Group, LLC
• Ave Maria Hospice of Fredericksburg, LLC
• Ave Maria Hospice, Inc
• Chris M Avery, MD

• Oxygen Equipment & Supplies (DME) in Fredericksburg, TX
• Providers in Fredericksburg, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.