NPIMap

Organization Active NPI

Bel-Regional Home Medical Inc.

  • Durable Medical Equipment & Medical Supplies
  • Green Bay, WI
National Provider Identifier
1447269352
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BEL-REGIONAL HOME MEDICAL INC.
Practice address
1220 E Mason St
Green Bay, WI 54301-3430
Phone
(920) 432-7801
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Authorized official

Name
Denise K Stroobants
Title
Credentialing Specialist
Phone
(920) 445-7222

Specialties & licenses 1

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

Addresses

Primary practice location

1220 E Mason St
Green Bay, WI 54301-3430

Mailing address

1220 E Mason St
Green Bay, WI 54301-3430
Phone (920) 432-7801

Other identifiers 1

IdentifierTypeStateIssuer
41664300MedicaidWI

Other names 1

  • Bellin Health Home Care Equipment Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930013086 WI DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Oxygen & Equipment 7911024112 Practice locations: Green Bay, WI

Other NPIs with the same Medicare PAC ID 3

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Bel-Regional Home Medical Inc1220 E Mason St, Green Bay, WI 54301-3430(920) 432-7801 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Hospital Beds (Electric)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Ultraviolet Light Devices and/or Supplies|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooter… Does not accept assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory
Tax ID family
Bel Regional Home Medic9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3200 Shore Dr
Marinette, WI 54143
Phone (715) 732-8610

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1447269352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013430",
            "telephone_number": "920-432-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013430",
            "telephone_number": "920-432-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEL-REGIONAL HOME MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "STROOBANTS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "920-445-7222"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41664300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellin Health Home Care Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.