Organization Active NPI

Elite Home Medical & Respiratory, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Orange, CA
National Provider Identifier
1659399558
Registry record updated Apr 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELITE HOME MEDICAL & RESPIRATORY, INC.
Doing business as
Elite Home Medical & Respiratory
Practice address
326 W Katella Ave Ste 4M
Orange, CA 92867-4756
Phone
(714) 630-2128
Fax
(714) 630-2135
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2019

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

Authorized official

Name
Steve Ryu Whitford
Title
President
Phone
(714) 393-1855

Specialties & licenses 1

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

Addresses

Primary practice location

326 W Katella Ave Ste 4M
Orange, CA 92867-4756

Mailing address

326 W Katella Ave Ste 4M
Orange, CA 92867-4756
Phone (714) 630-2128

Other identifiers 1

IdentifierTypeStateIssuer
DME03320FMedicaidCA

Other names 1

  • Elite Home Medical & Respiratory Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930006364 CA DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company 9335260439 Practice locations: Orange, CA

National Provider Directory

National Provider Directory

Locations

326 W Katella Ave
Ste 4M
Orange, CA 92867
Phone (714) 630-2128

322 W Katella Ave
Ste 5A
Orange, CA 92867
Phone (714) 630-2128

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555113600000",
    "number": "1659399558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 W KATELLA AVE STE 4M",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674756",
            "telephone_number": "714-630-2128",
            "fax_number": "714-630-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 W KATELLA AVE STE 4M",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674756",
            "telephone_number": "714-630-2128",
            "fax_number": "714-630-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOME MEDICAL & RESPIRATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-04-13",
        "status": "A",
        "authorized_official_last_name": "WHITFORD",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "RYU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-393-1855"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03320F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Home Medical & Respiratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Home Medical & Respiratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.