Active NPI
Clay Home Medical Inc
Doing business as Clay Home Medical
- Oxygen Equipment & Supplies (DME)
- Petersburg, VA
National Provider Identifier
1497754568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- CLAY HOME MEDICAL INC
- Doing business as
- Clay Home Medical
- Practice address
- 3333 S Crater Rd Ste 5
Petersburg, VA 23805 - Phone
- (804) 861-1606
- Fax
- (804) 862-1254
- NPI assigned
- Jul 20, 2005
- Organization subpart
- Yes
- Parent organization
- AEROCARE HOLDINGS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen Griggs
- Title
- Ceo
- Phone
- (407) 206-0040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | VA | Primary |
Addresses
Primary practice location
3333 S Crater Rd Ste 5
Petersburg, VA 23805
Mailing address
3325 Bartlett Blvd
Orlando, FL 32811-6428
Phone (407) 206-0040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ANTHEM BC/BS | Other | VA | DME PROVIDER |
| 009103341 | Medicaid | VA |
Other names 1
- Clay Home Medical
National Provider Directory
National Provider Directory- Part of
- Aerocare Holdings Inc
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Colorado Springs, CO
- NPI 1982298345
Member Of
-
dba AeroCare
- Oxygen Equipment & Supplies (DME)
- Colorado Springs, CO
- NPI 1912947383
Member Of
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Halifax, VA
- NPI 1235175795
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591574400000",
"number": "1497754568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3325 BARTLETT BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328116428",
"telephone_number": "407-206-0040",
"fax_number": "407-206-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 S CRATER RD STE 5",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "23805",
"telephone_number": "804-861-1606",
"fax_number": "804-862-1254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAY HOME MEDICAL INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AEROCARE HOLDINGS, INC.",
"enumeration_date": "2005-07-20",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A",
"authorized_official_last_name": "GRIGGS",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "407-206-0040",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME PROVIDER",
"identifier": "ANTHEM BC/BS",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009103341",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clay Home Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.