Active NPI
Elite Home Medical & Respiratory, Inc.
- Durable Medical Equipment & Medical Supplies
- Orange, CA
National Provider Identifier
1659399558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME03320F | Medicaid | CA |
Other names 1
- Elite Home Medical & Respiratory
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930006364 | CA | DME Supplier - Medical Supply Company With Respiratory Therapist | 9335260439 | Practice locations: Orange, CA |
National Provider Directory
National Provider DirectoryLocations
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.