Active NPI
Home Health Supply, Inc.
- Customized Equipment (DME)
- Palm Springs, CA
National Provider Identifier
1689766602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 103473
- Legal business name
- HOME HEALTH SUPPLY, INC.
- Practice address
- 820 E Research Dr Ste 4
Palm Springs, CA 92262-5945 - Phone
- (760) 327-3378
- Fax
- (760) 327-7365
- NPI assigned
- Sep 28, 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. Sydney Gubin II, ATP/S, CRTS
- Title
- President
- Phone
- (760) 327-3378
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 103473 | CA | Primary |
Addresses
Primary practice location
820 E Research Dr Ste 4
Palm Springs, CA 92262-5945
Mailing address
820 E Research Dr Ste 4
Palm Springs, CA 92262-5945
Phone (760) 327-3378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME00750F | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
820 E Research Dr
Ste 4
Palm Springs, CA 92262
Phone (760) 327-3378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689766602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 E RESEARCH DR STE 4",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922625945",
"telephone_number": "760-327-3378",
"fax_number": "760-327-7365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 E RESEARCH DR STE 4",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922625945",
"telephone_number": "760-327-3378",
"fax_number": "760-327-7365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME HEALTH SUPPLY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GUBIN",
"authorized_official_first_name": "SYDNEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-327-3378",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "ATP/S, CRTS"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "CA",
"license": "103473",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME00750F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.