Organization Active NPI

Elj Inc

Doing business as Millennium / Compass Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Paris, TX
National Provider Identifier
1659374858
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0056496 Issued in TX
Legal business name
ELJ INC
Doing business as
Millennium / Compass Medical Supply
Practice address
1500 Clarksville St
Paris, TX 75460-6076
Phone
(903) 739-8539
Fax
(903) 739-8206
NPI assigned
May 23, 2005
Last updated
Dec 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
Mrs. Latrishia Jetton
Title
Vice President
Phone
(903) 739-8539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0056496 TX Primary

Addresses

Primary practice location

1500 Clarksville St
Paris, TX 75460-6076

Mailing address

1500 Clarksville St
Paris, TX 75460-6076
Phone (903) 739-8539

Other identifiers 2

IdentifierTypeStateIssuer
147982601MedicaidTX
147981801MedicaidTX

Other names 1

  • Millennium / Compass Medical Supply Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1659374858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CLARKSVILLE ST",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754606076",
            "telephone_number": "903-739-8539",
            "fax_number": "903-739-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CLARKSVILLE ST",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754606076",
            "telephone_number": "903-739-8539",
            "fax_number": "903-739-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELJ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "JETTON",
        "authorized_official_first_name": "LATRISHIA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "903-739-8539",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0056496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147982601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147981801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium / Compass Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.