Organization Active NPI

Homedeq

  • Oxygen Equipment & Supplies (DME)
  • Lake Jackson, TX
National Provider Identifier
1760573091
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
00559252 Issued in TX
Legal business name
HOMEDEQ
Practice address
107 W Way St
Suite 15
Lake Jackson, TX 77566-5219
Phone
(979) 297-3603
Fax
(979) 297-3693
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alexander Rodger Kennedy
Title
President
Phone
(713) 748-6225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 00559252 TX Primary

Addresses

Primary practice location

107 W Way St
Suite 15
Lake Jackson, TX 77566-5219

Mailing address

PO Box 25242
Houston, TX 77265-5242
Phone (713) 748-6225

Other identifiers 1

IdentifierTypeStateIssuer
55952OtherTXTX DEPT OF HEALTH LISC

National Provider Directory

National Provider Directory
Tax ID family
Homedeq2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

107 W Way St
Ste 15
Lake Jackson, TX 77566
Phone (979) 297-3603

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760573091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25242",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772655242",
            "telephone_number": "713-748-6225",
            "fax_number": "713-747-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W WAY ST",
            "address_2": "SUITE 15",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665219",
            "telephone_number": "979-297-3603",
            "fax_number": "979-297-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEDEQ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "RODGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-748-6225"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "00559252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX DEPT OF HEALTH LISC",
            "identifier": "55952",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.