Organization Active NPI

At Home Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Nashville, TN
National Provider Identifier
1609968221
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0000002400 Issued in TN
Legal business name
AT HOME MEDICAL SUPPLIES LLC
Practice address
350 Wallace Rd
Nashville, TN 37211-4883
Phone
(615) 333-3392
Fax
(615) 333-3810
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Fruz Roshan
Title
President
Phone
(615) 333-3392

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0000002400 TN Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

350 Wallace Rd
Nashville, TN 37211-4883

Mailing address

350 Wallace Rd
Nashville, TN 37211-4883
Phone (615) 333-3392

Other identifiers 1

IdentifierTypeStateIssuer
1455011MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1609968221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 WALLACE RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114883",
            "telephone_number": "615-333-3392",
            "fax_number": "615-333-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 WALLACE RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114883",
            "telephone_number": "615-333-3392",
            "fax_number": "615-333-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "ROSHAN",
        "authorized_official_first_name": "FRUZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-333-3392"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0000002400",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455011",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.