Manitou Home Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MANITOU HOME MEDICAL

Practice address

6879 E 400 N
Rochester, IN 46975-8560

Phone

(574) 353-7638

NPI assigned

Feb 13, 2009

Last updated

Feb 13, 2009By 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

Ms. Shawn Bryant

Title

Owner/Contact Person

Phone

(574) 353-7638

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1780823773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6879 E 400 N",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469758560",
            "telephone_number": "574-353-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6879 E 400 N",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469758560",
            "telephone_number": "574-353-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANITOU HOME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER/CONTACT PERSON",
        "authorized_official_telephone_number": "574-353-7638",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addison Lawson, PHARMD
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• Durable Medical Equipment & Medical Supplies in Rochester, IN
• Providers in Rochester, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.