Organization Active NPI

Home Health Supply, Inc.

  • Customized Equipment (DME)
  • Palm Springs, CA
National Provider Identifier
1689766602
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
103473 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DME00750FMedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.