Organization Active NPI

Mission Health Concepts, Inc

  • Durable Medical Equipment & Medical Supplies
  • Rochester, NY
National Provider Identifier
1790126431
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MISSION HEALTH CONCEPTS, INC
Practice address
215 Mushroom Blvd BLDG 18
Rochester, NY 14623-3256
Phone
(585) 427-0380
Fax
(585) 427-2604
NPI assigned
Jul 10, 2013
Last updated
Jul 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Jonathan D Walters
Title
President
Phone
(585) 427-0380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

215 Mushroom Blvd BLDG 18
Rochester, NY 14623-3256

Mailing address

215 Mushroom Blvd BLDG 18
Rochester, NY 14623-3256
Phone (585) 427-0380

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1790126431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MUSHROOM BLVD BLDG 18",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233256",
            "telephone_number": "585-427-0380",
            "fax_number": "585-427-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MUSHROOM BLVD BLDG 18",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233256",
            "telephone_number": "585-427-0380",
            "fax_number": "585-427-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HEALTH CONCEPTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-427-0380"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.