Active NPI
Friendship-Angel DME, Inc.
- Durable Medical Equipment & Medical Supplies
- Nashville, TN
National Provider Identifier
1679672018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0000000766
- Legal business name
- FRIENDSHIP-ANGEL DME, INC.
- Practice address
- 325 Plus Park Blvd Ste 103
Nashville, TN 37217-1032 - Phone
- (615) 365-4424
- Fax
- (615) 365-0998
- NPI assigned
- Sep 22, 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
- Mr. Theophilus Egbujor
- Title
- President/Ceo
- Phone
- (615) 365-4424
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0000000766 | TN | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0000766 | TN |
Addresses
Primary practice location
325 Plus Park Blvd Ste 103
Nashville, TN 37217-1032
Mailing address
333 Plus Park Blvd
Nashville, TN 37217-1132
Phone (615) 365-4424
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000766 | Other | TN | HME/DME LICENSE |
| 4139952 | Other | TN | BCBS OF TN |
| 1455108 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
325 Plus Park Blvd
Ste 103
Nashville, TN 37217
Phone (615) 365-4424
325 Plus Park Blvd
Ste 110
Nashville, TN 37217
Phone (615) 365-4424
2131 Murfreesboro Pike
Ste 110
Nashville, TN 37217
Phone (615) 367-9282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376870400000",
"number": "1679672018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 PLUS PARK BLVD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372171132",
"telephone_number": "615-365-4424",
"fax_number": "615-365-0998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 PLUS PARK BLVD STE 103",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372171032",
"telephone_number": "615-365-4424",
"fax_number": "615-365-0998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIENDSHIP-ANGEL DME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2013-08-19",
"status": "A",
"authorized_official_last_name": "EGBUJOR",
"authorized_official_first_name": "THEOPHILUS",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "615-365-4424",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "0000000766",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "0000766",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HME/DME LICENSE",
"identifier": "0000000766",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "4139952",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1455108",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.