Active NPI
Saad Medical Equipment, Inc.
- Durable Medical Equipment & Medical Supplies
- D'Iberville, MS
National Provider Identifier
1649280165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 03506/11.1
- Legal business name
- SAAD MEDICAL EQUIPMENT, INC.
- Practice address
- 10598 Diberville Blvd
Suite a
Diberville, MS 39540-2465 - Phone
- (228) 432-5622
- Fax
- (228) 432-0010
- NPI assigned
- Aug 8, 2006
- Last updated
- Oct 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Henry B. Fulgham
- Title
- Vice President of Operations
- Phone
- (251) 343-9600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 03506/11.1 | MS | Primary |
Addresses
Primary practice location
10598 Diberville Blvd
Suite a
Diberville, MS 39540-2465
Mailing address
10598 Diberville Blvd
Suite a
Diberville, MS 39540-2465
Phone (228) 432-5622
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000012326 | Other | MS | BLUE CROSS BLUE SHIELD |
| 00040073 | Medicaid | MS |
Other names 1
- Saad Healthcare
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Saad Medical Equipment - D'Iberville
- Durable Medical Equipment & Medical Supplies
- D'Iberville, MS
- NPI 1508143371
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319500800000",
"number": "1649280165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10598 DIBERVILLE BLVD",
"address_2": "SUITE A",
"city": "DIBERVILLE",
"state": "MS",
"postal_code": "395402465",
"telephone_number": "228-432-5622",
"fax_number": "228-432-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10598 DIBERVILLE BLVD",
"address_2": "SUITE A",
"city": "DIBERVILLE",
"state": "MS",
"postal_code": "395402465",
"telephone_number": "228-432-5622",
"fax_number": "228-432-0010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAAD MEDICAL EQUIPMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-08",
"last_updated": "2011-10-25",
"status": "A",
"authorized_official_last_name": "FULGHAM",
"authorized_official_first_name": "HENRY",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
"authorized_official_telephone_number": "251-343-9600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MS",
"license": "03506/11.1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000012326",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00040073",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Saad Healthcare",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in D'Iberville, MS
- Tammy L Rouse, PT, MPH
- Saad Enterprises, Inc. (Saad Home Health and Hospice of MS - HOS)
- Saad Enterprises, Inc. (Saad Home Health and Hospice of MS - HH)
- Saad Enterprises, Inc. (Saad Medical Equipment - D'Iberville)
- Saad Enterprises, Inc. (Saad Medical Clinic)
- Saad Medical Management, Inc (Saad Home Nursing Services of MS)
- Saad Medical Management, Inc. (Saad Hospice Services of MS)
- Herman Marx Sacks, D.O.
- Katherine Lynne Sanders, O.D.
- Shayna Sanders
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.