NPIMap

Organization Active NPI

BH Management Services, LLC

  • Customized Equipment (DME)
  • San Jose, CA
National Provider Identifier
1407283369
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
BHC101SCC Issued in CA
Legal business name
BH MANAGEMENT SERVICES, LLC
Practice address
2109 Otoole Ave
Suite C
San Jose, CA 95131-1338
Phone
(669) 222-9264
Fax
(408) 824-5082
NPI assigned
Oct 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Marvin L Storm
Title
President
Phone
(669) 222-9264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X BHC101SCC CA Primary

Addresses

Primary practice location

2109 Otoole Ave
Suite C
San Jose, CA 95131-1338

Mailing address

2109 Otoole Ave
Suite C
San Jose, CA 95131-1338
Phone (669) 222-9264

Other identifiers 1

IdentifierTypeStateIssuer
BHC101SCCOtherCA101 MOBILITY ID

Other names 1

  • 101 Mobility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
101 Mobility2 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.

NPI Registry JSON

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1407283369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 OTOOLE AVE",
            "address_2": "SUITE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311338",
            "telephone_number": "669-222-9264",
            "fax_number": "408-824-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 OTOOLE AVE",
            "address_2": "SUITE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311338",
            "telephone_number": "669-222-9264",
            "fax_number": "408-824-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BH MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "STORM",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "669-222-9264"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "BHC101SCC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "101 MOBILITY ID",
            "identifier": "BHC101SCC",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "101 Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.