Organization Active NPI

Larry's Home Oxygen, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Enid, OK
National Provider Identifier
1649273558
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5-D-655 Issued in OK
Legal business name
LARRY'S HOME OXYGEN, INC.
Practice address
115 S Grand St
Enid, OK 73701-5654
Phone
(580) 233-5556
Fax
(580) 233-9993
NPI assigned
May 24, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Larry J Jantzen
Title
Owner
Phone
(580) 233-5556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5-D-655 OK Primary

Addresses

Primary practice location

115 S Grand St
Enid, OK 73701-5654

Mailing address

115 S Grand St
Enid, OK 73701-5654
Phone (580) 233-5556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930027905 OK DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & EquipmentDME Supplier - Prosthetic Personnel 2668593468 Practice locations: Enid, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Larry's Home Oxygen Inc115 S Grand St, Enid, OK 73701-5654(580) 233-5556 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|Pneumatic Compression Devices and/or Supplies|Speech Generating Devices|Support Su… Does not accept assignmentParticipating since Jan 1, 2000

National Provider Directory

National Provider Directory

Locations

115 S Grand St
Enid, OK 73701
Phone (580) 233-5556

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649273558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S GRAND ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015654",
            "telephone_number": "580-233-5556",
            "fax_number": "580-233-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S GRAND ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015654",
            "telephone_number": "580-233-5556",
            "fax_number": "580-233-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY'S HOME OXYGEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JANTZEN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-233-5556",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "5-D-655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.