Organization Active NPI

Locatel Stores Operations LLC

  • Oxygen Equipment & Supplies (DME)
  • Hallandale Beach, FL
National Provider Identifier
1780655985
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
PH20154 Issued in FL
Legal business name
LOCATEL STORES OPERATIONS LLC
Practice address
1715 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4621
Phone
(954) 416-1200
Fax
(954) 416-1216
NPI assigned
Jan 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Authorized official

Name
Mr. Maurice Ruah
Title
Ceo
Phone
(954) 416-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X PH20154 FL Primary

Addresses

Primary practice location

1715 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4621

Mailing address

1715 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4621
Phone (954) 416-1200

Other identifiers 1

IdentifierTypeStateIssuer
02698830-1MedicaidFL

National Provider Directory

National Provider Directory

Locations

1715 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 416-1200

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1780655985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094621",
            "telephone_number": "954-416-1200",
            "fax_number": "954-416-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094621",
            "telephone_number": "954-416-1200",
            "fax_number": "954-416-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCATEL STORES OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "RUAH",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-416-1200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "PH20154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02698830-1",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.