Organization Active NPI

Tos Home Health Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Poplar Bluff, MO
National Provider Identifier
1609936160
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TOS HOME HEALTH CARE INC
Practice address
1125 Herschel Bess Blvd
Poplar Bluff, MO 63901-3071
Phone
(573) 785-4300
Fax
(573) 785-7991
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Tyler V Berry
Title
Owner
Phone
(573) 785-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1125 Herschel Bess Blvd
Poplar Bluff, MO 63901-3071

Mailing address

1125 Herschel Bess Blvd
Poplar Bluff, MO 63901-3071
Phone (573) 785-4300

Other identifiers 2

IdentifierTypeStateIssuer
622036408MedicaidMO
852036409MedicaidMO

National Provider Directory

National Provider Directory

Locations

1125 Herschel Bess Blvd
Poplar Bluff, MO 63901
Phone (573) 785-4300

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1609936160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 HERSCHEL BESS BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013071",
            "telephone_number": "573-785-4300",
            "fax_number": "573-785-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 HERSCHEL BESS BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013071",
            "telephone_number": "573-785-4300",
            "fax_number": "573-785-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOS HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-785-4300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "622036408",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "852036409",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.