NPIMap

Organization Active NPI

St Marys at Home, Inc

  • Oxygen Equipment & Supplies (DME)
  • Evansville, IN
National Provider Identifier
1427201110
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
69000397A Issued in IN
Legal business name
ST MARYS AT HOME, INC
Practice address
3700 Washington Ave
Evansville, IN 47750-0001
Phone
(812) 485-4600
Fax
(812) 485-6513
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Chris Brosmer
Title
Manager
Phone
(812) 485-7228

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 69000397A IN
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 69000397A IN
Oxygen Equipment & Supplies (DME) 332BX2000X 69000397A IN Primary

Addresses

Primary practice location

3700 Washington Ave
Evansville, IN 47750-0001

Mailing address

3700 Washington Ave
Evansville, IN 47750-0001
Phone (812) 485-4600

Other identifiers 1

IdentifierTypeStateIssuer
100247940AMedicaidIN

Other names 1

  • St Marys Medical Equipment Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1427201110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477500001",
            "telephone_number": "812-485-4600",
            "fax_number": "812-485-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477500001",
            "telephone_number": "812-485-4600",
            "fax_number": "812-485-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS AT HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "BROSMER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "812-485-7228"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "69000397A",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IN",
            "license": "69000397A",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IN",
            "license": "69000397A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100247940A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Marys Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.