Organization Active NPI

Lobo Home Health Inc

  • Durable Medical Equipment & Medical Supplies
  • Scottsboro, AL
National Provider Identifier
1437208261
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
119 Issued in AL
Legal business name
LOBO HOME HEALTH INC
Practice address
133 Woods Cove Rd
Scottsboro, AL 35768
Phone
(256) 259-3123
Fax
(256) 259-1498
NPI assigned
Jan 10, 2007
Organization subpart
Yes
Parent organization
LOBO HOME HEALTH INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Josh Miller
Title
Owner
Phone
(256) 259-3123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 119 AL Primary

Addresses

Primary practice location

133 Woods Cove Rd
Scottsboro, AL 35768

Mailing address

133 Woods Cove Rd
Scottsboro, AL 35768-2460
Phone (256) 259-3123

Other identifiers 2

IdentifierTypeStateIssuer
000054007MedicaidAL
51054007OtherALBLUE CROSS PROVIDER NUMBE

Other names 2

  • PORCH HOME MEDICAL Doing business as
  • Transcend Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930005007 AL DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply Company With Orthotic Personnel 3678699220 Practice locations: Scottsboro, AL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Lobo Home Health Inc2 organizations share this tax ID, including this one
Part of
Lobo Home Health Inc

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1437208261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 WOODS COVE RD",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682460",
            "telephone_number": "256-259-3123",
            "fax_number": "256-259-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 WOODS COVE RD",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "35768",
            "telephone_number": "256-259-3123",
            "fax_number": "256-259-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOBO HOME HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOBO HOME HEALTH INC.",
        "enumeration_date": "2007-01-10",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-259-3123"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000054007",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "51054007",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PORCH HOME MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PORCH HOME MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Transcend Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.