Organization Active NPI

Gifted Hearts Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Seguin, TX
National Provider Identifier
1730831827
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GIFTED HEARTS MEDICAL SUPPLY LLC
Practice address
1012 E Court St
Seguin, TX 78155-5822
Phone
(830) 715-9299
Fax
(830) 715-9302
NPI assigned
Jan 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Cyril Owusu-Boakye, MDNPI 1851530455
Title
Ceo
Phone
(830) 715-9299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1012 E Court St
Seguin, TX 78155-5822

Mailing address

1012 E Court St
Seguin, TX 78155-5822
Phone (830) 715-9299

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1730831827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 E COURT ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555822",
            "telephone_number": "830-715-9299",
            "fax_number": "830-715-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 E COURT ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555822",
            "telephone_number": "830-715-9299",
            "fax_number": "830-715-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED HEARTS MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "OWUSU-BOAKYE",
        "authorized_official_first_name": "CYRIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "830-715-9299",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.