Organization Active NPI

DP Home Health Care Associates Inc

  • Durable Medical Equipment & Medical Supplies
  • Mobile, AL
National Provider Identifier
1609919265
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
118 Issued in AL
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

Updated by the provider on May 22, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000054625MedicaidAL
51054625OtherALBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.