Active NPI
Divine Mercy Medical Health and Equipment Supply, Inc.
- Durable Medical Equipment & Medical Supplies
- Greensboro, NC
National Provider Identifier
1700969607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.