Pennyrile Home Medical Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

PENNYRILE HOME MEDICAL INC

Practice address

7654 Eagle Way
Hopkinsville, KY 42240-8779

Phone

(270) 885-2500

Fax

(270) 889-9431

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Byron Chesnut

Title

Owner/President

Phone

(270) 885-2500

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1740215672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7654 EAGLE WAY",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408779",
            "telephone_number": "270-885-2500",
            "fax_number": "270-889-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7654 EAGLE WAY",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408779",
            "telephone_number": "270-885-2500",
            "fax_number": "270-889-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNYRILE HOME MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "CHESNUT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BYRON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "270-885-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100110680",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pennyrile Area Development District
• Pennyrile Area Develpoment District
• Pennyrile Family Dentistry
• Pennyrile Family Physicians
• Pennyrile General & Weight Loss Surgery PLLC
• Pennyrile Homes
• Pennyrile I LLC
• Pennyrile Physical Therapy
• Pennyrile Radiology, PSC
• Pennyrile Urology PSC

• Oxygen Equipment & Supplies (DME) in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Oxygen Equipment & Supplies (DME) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.