Your Home Town Medical Equipment Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

16103515 Issued in KS

Legal business name

YOUR HOME TOWN MEDICAL EQUIPMENT INC

Practice address

1615 N Walnut St
Pittsburg, KS 66762-3049

Phone

(620) 670-6080

Fax

(620) 223-2374

NPI assigned

Jul 8, 2005

Reactivated

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Glen A Pearson Jr.

Title

Owner

Phone

(620) 670-6080

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1699773143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 N WALNUT ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667623049",
            "telephone_number": "620-670-6080",
            "fax_number": "620-223-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 N WALNUT ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667623049",
            "telephone_number": "620-670-6080",
            "fax_number": "620-223-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HOME TOWN MEDICAL EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "deactivation_date": "2012-02-29",
        "reactivation_date": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-670-6080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "16103515",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "KS",
            "license": "16103515",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003910720001",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "118092",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003910720002",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jacqueline Margaret Youtsos, MD
• Eric Youvan, D.D.S.
• Marie G Youvan, RDH
• Karlie Zafuta, FNP
• Michael P Zafuta, MD

• Durable Medical Equipment & Medical Supplies in Pittsburg, KS
• Providers in Pittsburg, KS by specialty
• Durable Medical Equipment & Medical Supplies in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.