NPIMap

Organization Active NPI

Christopher E Holbrook Sr

Doing business as Beacon Home Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Lucasville, OH
National Provider Identifier
1477981991
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
HMEL11495 Issued in OH
Legal business name
CHRISTOPHER E HOLBROOK SR
Doing business as
Beacon Home Medical Supply
Practice address
1630 Coon Hollow Rd
Lucasville, OH 45648-8872
Phone
(740) 259-0808
Fax
(740) 259-4095
NPI assigned
Oct 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Authorized official

Name
Mr. Christopher E Holbrook Sr.
Title
Owner
Phone
(740) 259-0808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X HMEL11495 OH Primary

Addresses

Primary practice location

1630 Coon Hollow Rd
Lucasville, OH 45648-8872

Mailing address

1630 Coon Hollow Rd
Lucasville, OH 45648-8872
Phone (740) 259-0808

Other names 1

  • Beacon Home Medical Supply Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1477981991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 COON HOLLOW RD",
            "city": "LUCASVILLE",
            "state": "OH",
            "postal_code": "456488872",
            "telephone_number": "740-259-0808",
            "fax_number": "740-259-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 COON HOLLOW RD",
            "city": "LUCASVILLE",
            "state": "OH",
            "postal_code": "456488872",
            "telephone_number": "740-259-0808",
            "fax_number": "740-259-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER E HOLBROOK SR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "HOLBROOK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-259-0808",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "HMEL11495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Home Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lucasville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.