Organization Active NPI

Professional Respiratory Home Care, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Okeechobee, FL
National Provider Identifier
1467439406
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
3202694 Issued in FL
Legal business name
PROFESSIONAL RESPIRATORY HOME CARE, INC.
Practice address
1020 N Parrott Ave
Okeechobee, FL 34972-2110
Phone
(863) 763-2688
Fax
(863) 763-7896
NPI assigned
Dec 30, 2005
Last updated
Oct 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Mr. Walter Browning
Title
Owner
Phone
(863) 763-2688

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Oxygen Equipment & Supplies (DME) 332BX2000X 3202694 FL Primary

Addresses

Primary practice location

1020 N Parrott Ave
Okeechobee, FL 34972-2110

Mailing address

1020 N Parrott Ave
Okeechobee, FL 34972-2110
Phone (863) 763-2688

Other identifiers 2

IdentifierTypeStateIssuer
R3171OtherFLBLUECROSS BLUESHIELD
028917500MedicaidFL

National Provider Directory

National Provider Directory

Locations

1020 N Parrott Ave
Okeechobee, FL 34972
Phone (863) 763-2688

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1467439406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N PARROTT AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722110",
            "telephone_number": "863-763-2688",
            "fax_number": "863-763-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N PARROTT AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722110",
            "telephone_number": "863-763-2688",
            "fax_number": "863-763-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL RESPIRATORY HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "BROWNING",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-763-2688",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "3202694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "R3171",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028917500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.