Organization Active NPI

Medical Home Health of Cabarrus,Inc

  • Oxygen Equipment & Supplies (DME)
  • Concord, NC
National Provider Identifier
1699772939
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
00085 Issued in NC
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

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
Mrs. Rene' Ham Hammon, CRTT, RCP
Title
Manager
Phone
(704) 782-2188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7700056MedicaidNC
0487ZOtherNCBLUE CROSS BLUE SHIELD

Other names 1

  • Home Oxygen & Medical Equipment Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.