Organization Active NPI

Home Sweet Home in Home Medical LLC

Doing business as Life Guard Medical Supply

  • Oxygen Equipment & Supplies (DME)
  • Pennsboro, WV
National Provider Identifier
1700023835
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
2218-1728 Issued in WV
Legal business name
HOME SWEET HOME IN HOME MEDICAL LLC
Doing business as
Life Guard Medical Supply
Practice address
206 Kimball Ave
Pennsboro, WV 26415-1315
Phone
(304) 659-3535
Fax
(304) 659-3118
NPI assigned
Jan 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Ms. Melanie Vogt-McCloy, RNNPI 1609532233
Title
Owner
Phone
(304) 659-3535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 2218-1728 WV Primary

Addresses

Primary practice location

206 Kimball Ave
Pennsboro, WV 26415-1315

Mailing address

PO Box 75
Pennsboro, WV 26415-0075
Phone (304) 659-3535

Other names 1

  • Life Guard Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

206 Kimball Ave
Pennsboro, WV 26415
Phone (304) 659-3535

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1700023835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75",
            "city": "PENNSBORO",
            "state": "WV",
            "postal_code": "264150075",
            "telephone_number": "304-659-3535",
            "fax_number": "304-659-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 KIMBALL AVE",
            "city": "PENNSBORO",
            "state": "WV",
            "postal_code": "264151315",
            "telephone_number": "304-659-3535",
            "fax_number": "304-659-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME SWEET HOME IN HOME MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "VOGT-MCCLOY",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-659-3535",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "WV",
            "license": "2218-1728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Guard Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pennsboro, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.