Active NPI
Lobo Home Health Inc
- Durable Medical Equipment & Medical Supplies
- Scottsboro, AL
National Provider Identifier
1437208261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 119
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000054007 | Medicaid | AL | |
| 51054007 | Other | AL | BLUE CROSS PROVIDER NUMBE |
Other names 2
- PORCH HOME MEDICAL
- Transcend Medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930005007 | AL | DME Supplier - Medical Supply Company | 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).
-
- Durable Medical Equipment & Medical Supplies
- Guntersville, AL
- NPI 1134110968
3678699220
National Provider Directory
National Provider Directory- Tax ID family
- Lobo Home Health Inc
- 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.
-
- Oxygen Equipment & Supplies (DME)
- Scottsboro, AL
- NPI 1801889134
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.