Patrick Henry Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0099275 Issued in TX

Legal business name

PATRICK HENRY MEDICAL LLC

Doing business as

Breath of Life

Practice address

1708 Baker Rd
Sherman, TX 75090-2473

Phone

(903) 893-1301

Fax

(903) 893-1437

NPI assigned

Sep 25, 2007

Organization subpart

No

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

Authorized official

Name

Henry Blume Loe Jr.

Title

Ceo Owner

Phone

(903) 893-1301

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Breath of Life Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Esther Mwaura

  • Nurse Practitioner
  • Denison, TX
  • NPI 1538683230
  NPD (past)
• Brandon Morgan Olinger, ACNPC-AG

  • Acute Care Clinical Nurse Specialist
  • Dallas, TX
  • NPI 1679082903
  NPD (past)
• Utkal Patel, M.D.

  • Internal Medicine Physician
  • Denison, TX
  • NPI 1063742005
  NPD (past)
• Dalila Tarr, FNP-BC

  • Family Nurse Practitioner
  • Cotulla, TX
  • NPI 1356084370
  NPD (past)
• Philip Howard Yeilding, PA

  • Physician Assistant
  • Sherman, TX
  • NPI 1992719298
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1659568590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 907",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750910907",
            "telephone_number": "903-893-1301",
            "fax_number": "903-893-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 BAKER RD",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902473",
            "telephone_number": "903-893-1301",
            "fax_number": "903-893-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK HENRY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "LOE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "BLUME",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "903-893-1301",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0099275",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1981532-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breath of Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kruti R Patel, D.O
• Mounish Jagadish Patel
• Ronak Jashvantray Patel, M.D.
• Pratima Pathak
• Shubhangi Himanshu Patil, REGISTERED NURSE
• Patrick J Cindrich MD PA
• Marissa Eileen Patrick, CCC-SLP
• Patterson Optical, P.a.
• Dennis Gene Patterson, O.D.
• Precious Patterson

• Durable Medical Equipment & Medical Supplies in Sherman, TX
• Providers in Sherman, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.