Collier Home Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COLLIER HOME MEDICAL LLC

Practice address

1661 State Route 522 Unit 3
Wheelersburg, OH 45694-8150

Phone

(740) 574-0327

Fax

(740) 574-4370

NPI assigned

Oct 17, 2023

Organization subpart

No

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

Authorized official

Name

Bruce Scott Mays

Title

Ceo/General Manager

Phone

(740) 574-0327

Specialties & licenses 2

Addresses

Other names 1

• Collier Home Medical LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Collier Home Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Grayson, KY
  • NPI 1154296689

  1951846096

  Same PAC ID

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

Tax ID family

Collier Home Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Collier Home Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Grayson, KY
  • NPI 1154296689
  NPD tax ID

Locations

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1497537203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 STATE ROUTE 522 UNIT 3",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456948150",
            "telephone_number": "740-574-0327",
            "fax_number": "740-574-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 STATE ROUTE 522 UNIT 3",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456948150",
            "telephone_number": "740-574-0327",
            "fax_number": "740-574-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER HOME MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "MAYS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CEO/GENERAL MANAGER",
        "authorized_official_telephone_number": "740-574-0327"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collier Home Medical LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Collier Home Medical LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Abraham, MD Inc.
• Crystal Dawn Clark, LPN
• Ronda L Clayton
• James R Clevenger
• Stephanie Cline
• Collier Medical Services LLC
• Cory D Collins
• Jenifer Rose Combs, CNP
• Crystal Conn
• Johnnie M. Conn, MSW, LSW

• Durable Medical Equipment & Medical Supplies in Wheelersburg, OH
• Providers in Wheelersburg, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.