NPIMap

Organization Active NPI

JKM DME Inc

  • Oxygen Equipment & Supplies (DME)
  • Fort Scott, KS
National Provider Identifier
1487939583
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
JKM DME INC
Practice address
2 W 18TH St
Fort Scott, KS 66701-3177
Phone
(620) 223-4141
Fax
(620) 223-4144
NPI assigned
Oct 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Kimberly K Phillips
Title
Secretary/Treasurer
Phone
(620) 223-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

2 W 18TH St
Fort Scott, KS 66701-3177

Mailing address

2 W 18TH St
Fort Scott, KS 66701-3177
Phone (620) 223-4141

Other names 1

  • CARE4ALL HOME MEDICAL EQUIPMENT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120213000464 KS DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 5799942116 Practice locations: Fort Scott, KS

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Care4All2 W 18TH St, Fort Scott, KS 66701-3177(620) 223-4141 Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heati… Does not accept assignmentParticipating since Dec 27, 2011
Care4All2 W 18TH St, Fort Scott, KS 66701-3177(620) 223-4141 Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heati… Does not accept assignmentParticipating since Dec 27, 2011

National Provider Directory

National Provider Directory
Tax ID family
JKM DME Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1487939583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 18TH ST",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667013177",
            "telephone_number": "620-223-4141",
            "fax_number": "620-223-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 18TH ST",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667013177",
            "telephone_number": "620-223-4141",
            "fax_number": "620-223-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKM DME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "620-223-4141"
    },
    "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": "CARE4ALL HOME MEDICAL EQUIPMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CARE4ALL HOME MEDICAL EQUIPMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Scott, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.