Active NPI
Eric Holt
Doing business as Care Medical
- Oxygen Equipment & Supplies (DME)
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 05910/11.1
- Legal business name
- ERIC HOLT
- Doing business as
- Care Medical
- Practice address
- 404 Kia Lea Dr
Jackson, MS 39212-3278 - Phone
- (601) 201-5664
- Fax
- (601) 346-9423
- NPI assigned
- Nov 13, 2007
- Last updated
- Jul 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eric Holt
- Title
- Owner
- Phone
- (601) 346-9423
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 05910/11.1 | MS | Primary |
Addresses
Primary practice location
404 Kia Lea Dr
Jackson, MS 39212-3278
Mailing address
404 Kia Lea Dr
Jackson, MS 39212-3278
Phone (601) 201-5664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04381879 | Medicaid | MS |
Other names 1
- Care Medical
National Provider Directory
National Provider DirectoryLocations
7402 S Siwell Rd
Ste 101
Byram, MS 39272
Phone (601) 346-9423
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Critical Care Certified Respiratory Therapist
- Jackson, MS
- NPI 1164433959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216166400000",
"number": "1396925830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 KIA LEA DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392123278",
"telephone_number": "601-201-5664",
"fax_number": "601-346-9423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 KIA LEA DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392123278",
"telephone_number": "601-201-5664",
"fax_number": "601-346-9423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIC HOLT",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-13",
"last_updated": "2008-07-16",
"status": "A",
"authorized_official_last_name": "HOLT",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-346-9423",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "MS",
"license": "05910/11.1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04381879",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Care Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.