Active NPI
DP Home Health Care Associates Inc
- Durable Medical Equipment & Medical Supplies
- Mobile, AL
National Provider Identifier
1609919265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 118
- Legal business name
- DP HOME HEALTH CARE ASSOCIATES INC
- Practice address
- 2168 A St. Stephens Road
Mobile, AL 36617-3732 - Phone
- (251) 471-2113
- Fax
- (251) 476-1672
- NPI assigned
- Feb 14, 2007
- 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. Donald L. Ponquinette, PD, CDM
- Title
- President
- Phone
- (251) 471-2113
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 118 | AL | Primary |
Addresses
Primary practice location
2168 A St. Stephens Road
Mobile, AL 36617-3732
Mailing address
PO Box 1342
Mobile, AL 36633-1342
Phone (251) 471-2113
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000054625 | Medicaid | AL | |
| 51054625 | Other | AL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
2168A Saint Stephens Rd
Mobile, AL 36617
Phone (251) 471-2113
2168 Saint Stephens Rd
#A
Mobile, AL 36617
Phone (251) 471-2113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369180800000",
"number": "1609919265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1342",
"city": "MOBILE",
"state": "AL",
"postal_code": "366331342",
"telephone_number": "251-471-2113",
"fax_number": "251-476-1672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2168 A ST. STEPHENS ROAD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366173732",
"telephone_number": "251-471-2113",
"fax_number": "251-476-1672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DP HOME HEALTH CARE ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2013-05-22",
"status": "A",
"authorized_official_last_name": "PONQUINETTE",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "251-471-2113",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PD, CDM"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AL",
"license": "118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000054625",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51054625",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.