Andrea Marie Ewert

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

ANDREA MARIE EWERT

Doing business as

Home Oxygen Company, LLC

Practice address

5039 Pentecost Dr Ste C
Modesto, CA 95356-9290

Phone

(209) 523-0202

Fax

(888) 499-0202

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea Marie Ewert

Title

Owner

Phone

(209) 523-0202

Specialties & licenses 1

Addresses

Other names 2

• Home Oxygen Company, LLC Doing business as
• Home Oxygen Company Other name

Locations

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1457545923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578173",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953578173",
            "telephone_number": "209-523-0202",
            "fax_number": "888-499-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5039 PENTECOST DR STE C",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569290",
            "telephone_number": "209-523-0202",
            "fax_number": "888-499-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 N Star Way",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953569262",
            "country_code": "US",
            "telephone_number": "209-523-0202",
            "fax_number": "888-499-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5039 Pentecost Dr",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953569290",
            "country_code": "US",
            "telephone_number": "209-523-0202",
            "fax_number": "888-499-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANDREA MARIE EWERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "EWERT",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-523-0202",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Oxygen Company, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Oxygen Company",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Oxygen Equipment & Supplies (DME) in Modesto, CA
• Providers in Modesto, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.