Organization Active NPI

Lamb Home Medical Care LLC

  • Primary Care Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1780298018
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LAMB HOME MEDICAL CARE LLC
Practice address
3336 E Chandler Heights Rd Ste 113
Gilbert, AZ 85298-4263
Phone
(480) 440-8666
Fax
(480) 440-8666
NPI assigned
Sep 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Dr. Deryl Lamb, MDNPI 1811923758
Title
President
Phone
(480) 440-8666

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3336 E Chandler Heights Rd Ste 113
Gilbert, AZ 85298-4263

Mailing address

3336 E Chandler Heights Rd Ste 113
Gilbert, AZ 85298-4263
Phone (480) 440-8666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200923003235 AZ Part B Supplier - Clinic/Group Practice 0840617841 Receives reassigned benefits from 1 practitioner
Practice locations: Gilbert, AZ

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": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1780298018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 E CHANDLER HEIGHTS RD STE 113",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984263",
            "telephone_number": "480-440-8666",
            "fax_number": "480-440-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 E CHANDLER HEIGHTS RD STE 113",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984263",
            "telephone_number": "480-440-8666",
            "fax_number": "480-440-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMB HOME MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "LAMB",
        "authorized_official_first_name": "DERYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-440-8666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.