Organization Active NPI

Divine Mercy Medical Health and Equipment Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Greensboro, NC
National Provider Identifier
1700969607
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIVINE MERCY MEDICAL HEALTH AND EQUIPMENT SUPPLY, INC.
Practice address
620 S Elm St
Suite 323
Greensboro, NC 27406-1370
Phone
(336) 288-6871
NPI assigned
Oct 23, 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
Dr. Jude Nnaemeka Okoyeh
Title
Manager/Director
Phone
(336) 288-6871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

620 S Elm St
Suite 323
Greensboro, NC 27406-1370

Mailing address

4507 Lawndale Dr
# D
Greensboro, NC 27455-1882

National Provider Directory

National Provider Directory

Locations

620 S Elm St
Ste 323
Greensboro, NC 27406
Phone (336) 288-6871

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700969607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 LAWNDALE DR",
            "address_2": "# D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S ELM ST",
            "address_2": "SUITE 323",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274061370",
            "telephone_number": "336-288-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MERCY MEDICAL HEALTH AND EQUIPMENT SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OKOYEH",
        "authorized_official_first_name": "JUDE",
        "authorized_official_middle_name": "NNAEMEKA",
        "authorized_official_title_or_position": "MANAGER/DIRECTOR",
        "authorized_official_telephone_number": "336-288-6871",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, 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.