Organization Active NPI

Shiloh Medical Supply DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Laredo, TX
National Provider Identifier
1710150388
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHILOH MEDICAL SUPPLY DME LLC
Practice address
1008 E Bustamante St
Laredo, TX 78041-5205
Phone
(956) 726-9227
Fax
(956) 726-9279
NPI assigned
Apr 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Ms. Olga Esparza
Title
Owner
Phone
(956) 220-3500

Specialties & licenses 1

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

Addresses

Primary practice location

1008 E Bustamante St
Laredo, TX 78041-5205

Mailing address

1008 E Bustamante St
Laredo, TX 78041-5205
Phone (956) 726-9227

Other identifiers 1

IdentifierTypeStateIssuer
2015216-02MedicaidTX

Other names 1

  • Shiloh Medical Supplies DME LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1008 E Bustamante St
Laredo, TX 78041
Phone (956) 726-9227

NPI Registry JSON

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1710150388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 E BUSTAMANTE ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415205",
            "telephone_number": "956-726-9227",
            "fax_number": "956-726-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 E BUSTAMANTE ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415205",
            "telephone_number": "956-726-9227",
            "fax_number": "956-726-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH MEDICAL SUPPLY DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "ESPARZA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-220-3500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015216-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shiloh Medical Supplies DME LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.