Standard Medical Home Healthcare, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

S07079003 Issued in VA

Legal business name

STANDARD MEDICAL HOME HEALTHCARE, LLC

Practice address

8115 Maple Lawn Blvd Ste 350
Fulton, MD 20759

Phone

(888) 886-1167

Fax

(888) 886-1167

NPI assigned

Jul 13, 2007

Last updated

Dec 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony GoodesmithNPI 1164054581

Title

President/Ceo/Owner

Phone

(888) 886-1167

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony B Goodesmith

  • Durable Medical Equipment & Medical Supplies
  • Fulton, MD
  • NPI 1164054581
  NPD Authorized official

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1750580346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 MAPLE LAWN BLVD STE 350",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592683",
            "telephone_number": "888-886-1167",
            "fax_number": "888-886-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 MAPLE LAWN BLVD STE 350",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "20759",
            "telephone_number": "888-886-1167",
            "fax_number": "888-886-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDARD MEDICAL HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "GOODESMITH",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT/CEO/OWNER",
        "authorized_official_telephone_number": "888-886-1167"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "S07079003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750580346",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassie Spicer
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• Brooke Springer, MS, CCC-SLP
• Victoria Ruth Staiman, M.D.
• Standard Medical Equipment Systems LLC
• Leanne Staylor
• Mycala Strong
• Nutaporn Sukontasup, OD
• Summit Ambulatory Surgical Center, LLC
• Surgipa Health, LLC

• Durable Medical Equipment & Medical Supplies in Fulton, MD
• Providers in Fulton, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.