Organization Active NPI

Friendship-Angel DME, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Nashville, TN
National Provider Identifier
1679672018
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0000000766 Issued in TN
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

Updated by the provider on Aug 19, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0000000766OtherTNHME/DME LICENSE
4139952OtherTNBCBS OF TN
1455108MedicaidTN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.