Organization Active NPI

Eric Holt

Doing business as Care Medical

  • Oxygen Equipment & Supplies (DME)
  • Jackson, MS
National Provider Identifier
1396925830
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
05910/11.1 Issued in MS
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Mr. Eric HoltNPI 1164433959
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04381879MedicaidMS

Other names 1

  • Care Medical Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.