Organization Active NPI

Arletta a Roberts Dba Holidaes Medical Connection

  • Durable Medical Equipment & Medical Supplies
  • Pearland, TX
National Provider Identifier
1659374270
Registry record updated Jun 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0066672 Issued in TX
Legal business name
ARLETTA A ROBERTS DBA HOLIDAES MEDICAL CONNECTION
Practice address
1151 Glenda St
Pearland, TX 77581-2301
Phone
(281) 485-0409
Fax
(281) 485-0409
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2008

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

Authorized official

Name
Leta Roberts
Title
Owner
Phone
(832) 266-9962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0066672 TX Primary

Addresses

Primary practice location

1151 Glenda St
Pearland, TX 77581-2301

Mailing address

1151 Glenda St
Pearland, TX 77581-2301

Other identifiers 7

IdentifierTypeStateIssuer
157111901MedicaidTX
157111901,02,03OtherTXCHC - DME SUPPLIER
531627OtherTXBCBS OF TX - DME SUPPLIER
157111903MedicaidTX
157111902MedicaidTX
236953OtherTXAMERIGROUP - DME SUPPLIER
605791700OtherTXOWCP- DME SUPPLIER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213488000000",
    "number": "1659374270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 GLENDA ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775812301",
            "fax_number": "281-485-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 GLENDA ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775812301",
            "telephone_number": "281-485-0409",
            "fax_number": "281-485-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLETTA A ROBERTS DBA HOLIDAES MEDICAL CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2008-06-15",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "LETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-266-9962"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0066672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157111901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHC - DME SUPPLIER",
            "identifier": "157111901,02,03",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX - DME SUPPLIER",
            "identifier": "531627",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157111903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157111902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP - DME SUPPLIER",
            "identifier": "236953",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP- DME SUPPLIER",
            "identifier": "605791700",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.