Organization Active NPI

Diabetes Home Care, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Crescent City, FL
National Provider Identifier
1477576353
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIABETES HOME CARE, INC.
Practice address
508 Central Ave
Crescent City, FL 32112-2504
Phone
(386) 698-4626
Fax
(386) 698-4631
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Miss Christine Wilson Buchan
Title
Vice President/General Manager
Phone
(386) 698-4626

Specialties & licenses 1

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

Addresses

Primary practice location

508 Central Ave
Crescent City, FL 32112-2504

Mailing address

PO Box 265
Crescent City, FL 32112-0265
Phone (386) 698-4626

National Provider Directory

National Provider Directory

Locations

508 Central Ave
Crescent City, FL 32112
Phone (386) 698-4626

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1477576353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "city": "CRESCENT CITY",
            "state": "FL",
            "postal_code": "321120265",
            "telephone_number": "386-698-4626",
            "fax_number": "386-698-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 CENTRAL AVE",
            "city": "CRESCENT CITY",
            "state": "FL",
            "postal_code": "321122504",
            "telephone_number": "386-698-4626",
            "fax_number": "386-698-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "BUCHAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "VICE PRESIDENT/GENERAL MANAGER",
        "authorized_official_telephone_number": "386-698-4626",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crescent City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.