Organization Active NPI

DMR Homecare LLC

  • Durable Medical Equipment & Medical Supplies
  • Casa Grande, AZ
National Provider Identifier
1487824561
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
20262380 Issued in AZ
Legal business name
DMR HOMECARE LLC
Practice address
2300 E Tanger Dr
Suite 109
Casa Grande, AZ 85122-9608
Phone
(520) 494-9990
Fax
(520) 494-9122
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Mr. Daniel Dean Foster
Title
Owner
Phone
(520) 494-9990

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 20262380 AZ Primary
Oxygen Equipment & Supplies (DME) 332BX2000X C000764 AZ

Addresses

Primary practice location

2300 E Tanger Dr
Suite 109
Casa Grande, AZ 85122-9608

Mailing address

2300 E Tanger Dr Ste 109
Casa Grande, AZ 85122-9630
Phone (520) 494-9990

Other identifiers 1

IdentifierTypeStateIssuer
305033MedicaidAZ

Other names 1

  • DMR-N-Sales Former legal business name

National Provider Directory

National Provider Directory

Locations

1664 E Florence Blvd
Ste 14
Casa Grande, AZ 85122
Phone (520) 494-9990

2300 E Tanger Dr
Ste 109
Casa Grande, AZ 85122
Phone (520) 494-9990

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1487824561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E TANGER DR STE 109",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851229630",
            "telephone_number": "520-494-9990",
            "fax_number": "520-494-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E TANGER DR",
            "address_2": "SUITE 109",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851229608",
            "telephone_number": "520-494-9990",
            "fax_number": "520-494-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMR HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-494-9990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "20262380",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AZ",
            "license": "C000764",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305033",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMR-N-Sales",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.