Active NPI
Ellis Home Oxygen & Medical
- Oxygen Equipment & Supplies (DME)
- Marion, VA
National Provider Identifier
1598895518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 0206008222
- Legal business name
- ELLIS HOME OXYGEN & MEDICAL
- Practice address
- 925 N Main St
Marion, VA 24354-4117 - Phone
- (276) 783-6868
- Fax
- (276) 783-3357
- NPI assigned
- Mar 7, 2007
- Organization subpart
- Yes
- Parent organization
- AEROCARE HOLDINGS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Griggs
- Title
- President
- Phone
- (407) 206-0040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 0206008222 | VA | Primary |
Addresses
Primary practice location
925 N Main St
Marion, VA 24354-4117
Mailing address
220 W Germantown Pike Ste 250
Plymouth Meeting, PA 19462-1437
Phone (610) 630-6357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009135618 | Medicaid | VA |
Other names 1
- Ellis Home Oxygen & Medical
National Provider Directory
National Provider Directory- Part of
- Adapthealth West LLC
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Halifax, VA
- NPI 1235175795
Member Of
-
- Durable Medical Equipment & Medical Supplies
- Colorado Springs, CO
- NPI 1982298345
Member Of
Locations
2460 Lee Hwy N
Ste 7
Pulaski, VA 24301
Phone (540) 980-9551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627862400000",
"number": "1598895518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 W GERMANTOWN PIKE STE 250",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621437",
"telephone_number": "610-630-6357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 N MAIN ST",
"city": "MARION",
"state": "VA",
"postal_code": "243544117",
"telephone_number": "276-783-6868",
"fax_number": "276-783-3357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLIS HOME OXYGEN & MEDICAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AEROCARE HOLDINGS LLC",
"enumeration_date": "2007-03-07",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A",
"authorized_official_last_name": "GRIGGS",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-206-0040"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "VA",
"license": "0206008222",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009135618",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ellis Home Oxygen & Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marion, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.