Active NPI
Medical Home Health of Cabarrus,Inc
- Oxygen Equipment & Supplies (DME)
- Concord, NC
National Provider Identifier
1699772939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 00085
- Legal business name
- MEDICAL HOME HEALTH OF CABARRUS,INC
- Doing business as
- Home Oxygen & Medical Equipment
- Practice address
- 320 Copperfield Blvd NE Ste B
Concord, NC 28025-2431 - Phone
- (704) 782-2188
- Fax
- (704) 792-1443
- NPI assigned
- Jul 1, 2005
- 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
- Mrs. Rene' Ham Hammon, CRTT, RCP
- Title
- Manager
- Phone
- (704) 782-2188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 00085 | NC | Primary |
Addresses
Primary practice location
320 Copperfield Blvd NE Ste B
Concord, NC 28025-2431
Mailing address
320 Copperfield Blvd NE Ste B
Concord, NC 28025-2431
Phone (704) 782-2188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7700056 | Medicaid | NC | |
| 0487Z | Other | NC | BLUE CROSS BLUE SHIELD |
Other names 1
- Home Oxygen & Medical Equipment
National Provider Directory
National Provider DirectoryLocations
320 Copperfield Blvd NE
Ste B
Concord, NC 28025
Phone (704) 264-0528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1699772939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 COPPERFIELD BLVD NE STE B",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252431",
"telephone_number": "704-782-2188",
"fax_number": "704-792-1443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 COPPERFIELD BLVD NE STE B",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252431",
"telephone_number": "704-782-2188",
"fax_number": "704-792-1443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL HOME HEALTH OF CABARRUS,INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HAMMON",
"authorized_official_first_name": "RENE'",
"authorized_official_middle_name": "HAM",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "704-782-2188",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CRTT, RCP"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NC",
"license": "00085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7700056",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0487Z",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Home Oxygen & Medical Equipment",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Concord, NC
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.