NPIMap

Organization Active NPI

Corner Homecare Inc

  • Oxygen Equipment & Supplies (DME)
  • Vincennes, IN
National Provider Identifier
1396740866
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
60005201A Issued in IN
Legal business name
CORNER HOMECARE INC
Practice address
321 N 2ND St
Vincennes, IN 47591-1304
Phone
(812) 886-6902
Fax
(812) 886-5473
NPI assigned
Jun 20, 2005
Last updated
Aug 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Mr. Steven K Ppool
Title
President
Phone
(270) 365-3903

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 60005201A IN
Oxygen Equipment & Supplies (DME) 332BX2000X 60005201A IN Primary
Pharmacy 333600000X 60005201A IN
Prosthetic/Orthotic Supplier 335E00000X 60005201A IN

Addresses

Primary practice location

321 N 2ND St
Vincennes, IN 47591-1304

Mailing address

108 E Washington St
Princeton, KY 42445-2250
Phone (270) 365-3903

Other identifiers 3

IdentifierTypeStateIssuer
61164848004MedicaidIL
200413900AMedicaidIN
200500530AMedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Corner Homecare5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

321 N 2nd St
Vincennes, IN 47591
Phone (812) 886-6902

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1396740866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E WASHINGTON ST",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424452250",
            "telephone_number": "270-365-3903",
            "fax_number": "270-365-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N 2ND ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911304",
            "telephone_number": "812-886-6902",
            "fax_number": "812-886-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "PPOOL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-365-3903",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IN",
            "license": "60005201A",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IN",
            "license": "60005201A",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IN",
            "license": "60005201A",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IN",
            "license": "60005201A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61164848004",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200413900A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200500530A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.