Organization Active NPI

Krall Medical LLC

Doing business as At Home Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Winona, MN
National Provider Identifier
1730363631
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2324445 Issued in MN
Legal business name
KRALL MEDICAL LLC
Doing business as
At Home Medical Supply
Practice address
1152 Gilmore Ave
Winona, MN 55987-2404
Phone
(507) 453-9300
Fax
(507) 453-9612
NPI assigned
Dec 27, 2007
Last updated
Oct 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Ms. Lynda Krall
Title
Owner
Phone
(507) 453-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2324445 MN Primary

Addresses

Primary practice location

1152 Gilmore Ave
Winona, MN 55987-2404

Mailing address

1152 Gilmore Ave
Winona, MN 55987-2404
Phone (507) 453-9300

Other identifiers 12

IdentifierTypeStateIssuer
411817576OtherMNMUTUAL OF OMAHA
058835866OtherMNAARP
105861OtherMNCLEAR CONNECT
411817576OtherMNPHYSICIANS MUTUAL
41693800OtherMNWISCONSIN MEDICAID
63375OtherMNHEALTH PARTNERS
723336OtherMNPREFFERED ONE
220717600MedicaidMN
411817576OtherMNHUMANA GOLD
4BT93ATOtherMNBCBS
6G749ATOtherMNBCBS
000750867OtherMNAPWU

Other names 1

  • AT HOME MEDICAL SUPPLY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1730363631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 GILMORE AVE",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559872404",
            "telephone_number": "507-453-9300",
            "fax_number": "507-453-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 GILMORE AVE",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559872404",
            "telephone_number": "507-453-9300",
            "fax_number": "507-453-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRALL MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "KRALL",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-453-9300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "2324445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUTUAL OF OMAHA",
            "identifier": "411817576",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AARP",
            "identifier": "058835866",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLEAR CONNECT",
            "identifier": "105861",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS MUTUAL",
            "identifier": "411817576",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN MEDICAID",
            "identifier": "41693800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "63375",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFFERED ONE",
            "identifier": "723336",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220717600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GOLD",
            "identifier": "411817576",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4BT93AT",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6G749AT",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APWU",
            "identifier": "000750867",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AT HOME MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winona, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.