Grove Lane LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GROVE LANE LLC

Practice address

9107 Breckenridge Dr
Magnolia, TX 77354-5742

Phone

(281) 777-8621

Fax

(888) 757-8009

NPI assigned

Oct 31, 2022

Last updated

Oct 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dennis Lane Estes

Title

Controller

Phone

(281) 777-8621

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1568179562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 BRECKENRIDGE DR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773545742",
            "telephone_number": "281-777-8621",
            "fax_number": "888-757-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9107 BRECKENRIDGE DR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773545742",
            "telephone_number": "281-777-8621",
            "fax_number": "888-757-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE LANE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "281-777-8621"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Magnolia, TX
• Providers in Magnolia, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.