Organization Active NPI

Breath of Elegance LLC

  • Durable Medical Equipment & Medical Supplies
  • Clarence, MO
National Provider Identifier
1508514662
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BREATH OF ELEGANCE LLC
Practice address
117 West Chestnut Street
Clarence, MO 63437
Phone
(660) 676-2896
Fax
(660) 699-2261
NPI assigned
Mar 16, 2022
Last updated
Feb 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Ashton Lynnise Whisenand, CRTNPI 1477226819
Title
Owner
Phone
(660) 833-1836

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

117 West Chestnut Street
Clarence, MO 63437

Mailing address

117 West Chestnut Street
Clarence, MO 63437
Phone (660) 676-2896

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220803000170 MO DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 8224410584 Practice locations: Clarence, MO

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
Breath of Elegance117 W Chestnut St, Clarence, MO 63437-2109(660) 676-2896 Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Continuous Positive A… Does not accept assignmentParticipating since Oct 11, 2022

National Provider Directory

National Provider Directory

Locations

117 W Chestnut St
Clarence, MO 63437
Phone (660) 415-1277

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1508514662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 WEST CHESTNUT STREET",
            "city": "CLARENCE",
            "state": "MO",
            "postal_code": "63437",
            "telephone_number": "660-676-2896",
            "fax_number": "660-699-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 WEST CHESTNUT STREET",
            "city": "CLARENCE",
            "state": "MO",
            "postal_code": "63437",
            "telephone_number": "660-676-2896",
            "fax_number": "660-699-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATH OF ELEGANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "WHISENAND",
        "authorized_official_first_name": "ASHTON",
        "authorized_official_middle_name": "LYNNISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-833-1836",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.