Active Adult Home Health Care Equipment, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

51492 Issued in UT

Legal business name

ACTIVE ADULT HOME HEALTH CARE EQUIPMENT, INC.

Practice address

970 E 3300 S
8
Salt Lake City, UT 84106-2183

Phone

(801) 412-2603

Fax

(801) 413-2603

NPI assigned

Dec 13, 2007

Last updated

Dec 13, 2007By 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

Mr. Vasili Merabishvili

Title

President

Phone

(801) 412-2603

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1588847412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 E 3300 S",
            "address_2": "8",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062183",
            "telephone_number": "801-412-2603",
            "fax_number": "801-413-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 E 3300 S",
            "address_2": "8",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062183",
            "telephone_number": "801-412-2603",
            "fax_number": "801-413-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE ADULT HOME HEALTH CARE EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "MERABISHVILI",
        "authorized_official_first_name": "VASILI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-412-2603",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "51492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSENESS LICENSE",
            "identifier": "51492",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.