Organization Active NPI

Holland Medical Services Inc

Doing business as Rotech of Western Kentucky

  • Durable Medical Equipment & Medical Supplies
  • Paducah, KY
National Provider Identifier
1568423572
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOLLAND MEDICAL SERVICES INC
Doing business as
Rotech of Western Kentucky
Practice address
1914 Broadway St
Paducah, KY 42001-7106
Phone
(270) 442-6311
Fax
(270) 443-8433
NPI assigned
Mar 29, 2006
Organization subpart
Yes
Parent organization
ROTECH HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Robin L Menchen
Title
Chief Executive Officer
Phone
(407) 822-4600

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

1914 Broadway St
Paducah, KY 42001-7106

Mailing address

PO Box 27968
Salt Lake City, UT 84127-0968
Phone (765) 448-6685

Other identifiers 1

IdentifierTypeStateIssuer
7100211070MedicaidKY

Other names 1

  • Rotech of Western Kentucky Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930063455 KY DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 7214054485 Practice locations: Paducah, KY

Other NPIs with the same Medicare PAC ID 1

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
Rotech of Western Kentucky1914 Broadway St, Paducah, KY 42001-7106(270) 442-6311 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|External Infusion Pumps and/or Supplies|Ins… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Holland Medical Services Inc2 organizations share this tax ID, including this one
Part of
Rotech Healthcare Inc

Other organizations with this tax ID 1

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

Locations

3907 W Ernestine Dr
Marion, IL 62959
Phone (618) 993-1422

215 Clinic Dr
Madisonville, KY 42431
Phone (270) 825-0891

252 Sturgis Rd
Marion, KY 42064
Phone (270) 965-5808

905 Arcadia Cir
Murray, KY 42071
Phone (270) 753-1465

120 Max Hurt Dr
Murray, KY 42071
Phone (270) 753-1465

1914 Broadway St
Paducah, KY 42001
Phone (270) 442-6311

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1568423572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27968",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270968",
            "telephone_number": "765-448-6685",
            "fax_number": "765-446-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017106",
            "telephone_number": "270-442-6311",
            "fax_number": "270-443-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND MEDICAL SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROTECH HEALTHCARE INC",
        "enumeration_date": "2006-03-29",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "MENCHEN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "407-822-4600"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100211070",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rotech of Western Kentucky",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.