Active NPI
Intouch Medical Supplies LLC
- Durable Medical Equipment & Medical Supplies
- Douglasville, GA
National Provider Identifier
1588840656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 19781
- Legal business name
- INTOUCH MEDICAL SUPPLIES LLC
- Practice address
- 5300 Brickleberry Way
Suite 205
Douglasville, GA 30134-4066 - Phone
- (678) 993-5058
- NPI assigned
- Jan 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alphanso R Young
- Title
- Ceo
- Phone
- (678) 993-5058
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 19781 | GA | Primary |
Addresses
Primary practice location
5300 Brickleberry Way
Suite 205
Douglasville, GA 30134-4066
Mailing address
5300 Brickleberry Way
Suite 205
Douglasville, GA 30134-4066
Phone (678) 993-5058
National Provider Directory
National Provider DirectoryLocations
5300 Brickleberry Way
Ste 205
Douglasville, GA 30134
Phone (678) 993-5058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200614400000",
"number": "1588840656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 BRICKLEBERRY WAY",
"address_2": "SUITE 205",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301344066",
"telephone_number": "678-993-5058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 BRICKLEBERRY WAY",
"address_2": "SUITE 205",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301344066",
"telephone_number": "678-993-5058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTOUCH MEDICAL SUPPLIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-18",
"last_updated": "2008-01-18",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "ALPHANSO",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-993-5058",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "GA",
"license": "19781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.