NPIMap

Organization Active NPI

P & R Home IV Service, Inc.

Doing business as P & R Medical Connection

  • Oxygen Equipment & Supplies (DME)
  • Bryan, OH
National Provider Identifier
1730564840
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
P & R HOME IV SERVICE, INC.
Doing business as
P & R Medical Connection
Practice address
1100 E High St
Bryan, OH 43506-9483
Phone
(419) 990-1010
Fax
(419) 990-1013
NPI assigned
Jul 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Mrs. Robin S Farris
Title
Treasurer
Phone
(800) 587-7670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X OH Primary

Addresses

Primary practice location

1100 E High St
Bryan, OH 43506-9483

Mailing address

16937 Defiance TRL
Van Wert, OH 45891-8619
Phone (800) 587-7670

Other identifiers 1

IdentifierTypeStateIssuer
0631301MedicaidOH

Other names 1

  • P & R MEDICAL CONNECTION Doing business as

National Provider Directory

National Provider Directory
Tax ID family
P R Home IV Service Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1100 E High St
Bryan, OH 43506
Phone (419) 990-1010

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1730564840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16937 DEFIANCE TRL",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458918619",
            "telephone_number": "800-587-7670",
            "fax_number": "419-587-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E HIGH ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435069483",
            "telephone_number": "419-990-1010",
            "fax_number": "419-990-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & R HOME IV SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "800-587-7670",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0631301",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P & R MEDICAL CONNECTION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryan, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.