Pro Home Medical Equipment, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

911 Issued in FL

Legal business name

PRO HOME MEDICAL EQUIPMENT, INC.

Practice address

2187 Siesta Drive
Sarasota, FL 34239

Phone

(941) 365-1499

Fax

(941) 365-3929

NPI assigned

Aug 28, 2006

Last updated

Apr 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Travis Patrick Rodgers Jr.

Title

Owner

Phone

(941) 365-1499

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Physical Rehab Products Inc Former legal business name

Locations

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1609984970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2187 SIESTA DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395235",
            "telephone_number": "941-365-1499",
            "fax_number": "941-365-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2187 SIESTA DRIVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34239",
            "telephone_number": "941-365-1499",
            "fax_number": "941-365-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO HOME MEDICAL EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-365-1499",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M2395",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026523300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Rehab Products Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Terry Shannon Proeger, PHD
• Professional Counseling Centers

• Durable Medical Equipment & Medical Supplies in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.