Organization Active NPI

Habakkuk Enterprises Inc

  • Durable Medical Equipment & Medical Supplies
  • Memphis, TN
National Provider Identifier
1679756498
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
107000607 Issued in TN
Legal business name
HABAKKUK ENTERPRISES INC
Practice address
2500 Mount Moriah Rd
Building H Suite 200
Memphis, TN 38115-1510
Phone
(901) 672-7289
Fax
(901) 672-7356
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Authorized official

Name
Mr. Anthony Lee Hodge Sr.
Title
Owner
Phone
(901) 672-7289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 107000607 TN Primary

Addresses

Primary practice location

2500 Mount Moriah Rd
Building H Suite 200
Memphis, TN 38115-1510

Mailing address

2500 Mount Moriah Rd
BLDG H Ste 200
Memphis, TN 38115-1523
Phone (901) 672-7289

Other names 1

  • Habakkuk Medical INC Doing business as

National Provider Directory

National Provider Directory

Locations

2500 Mount Moriah Rd
Ste 200
Memphis, TN 38115
Phone (901) 672-7289

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1679756498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MOUNT MORIAH RD",
            "address_2": "BLDG H STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151523",
            "telephone_number": "901-672-7289",
            "fax_number": "901-672-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MOUNT MORIAH RD",
            "address_2": "BUILDING H SUITE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151510",
            "telephone_number": "901-672-7289",
            "fax_number": "901-672-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABAKKUK ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-672-7289",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "107000607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Habakkuk Medical INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.