Portable Home Respiratory Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

591 Issued in FL

Legal business name

PORTABLE HOME RESPIRATORY INC

Practice address

4990 SW 52ND Street
Suite 211
Ft Lauderdale, FL 33314-5520

Phone

(800) 768-0336

Fax

(954) 452-7774

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Edith E Selby

Title

Owner Officer

Phone

(800) 768-0336

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1790903268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 SW 52ND STREET",
            "address_2": "SUITE 211",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333145520",
            "telephone_number": "800-768-0336",
            "fax_number": "954-452-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 SW 52ND STREET",
            "address_2": "SUITE 211",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333145520",
            "telephone_number": "800-768-0336",
            "fax_number": "954-452-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTABLE HOME RESPIRATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "SELBY",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER OFFICER",
        "authorized_official_telephone_number": "800-768-0336",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "591",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "3300368",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "R6339",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Poole, CRNA
• Davion Pooran, APRN
• Gregg R Popkin, D.C.
• John J Poquette, COTA/L
• Jose Emilio Porro Lugo
• Alexandria Porter, PT, DPT
• Judy Porter
• Mary Ann Porter, MSN, CNM, ARNP
• Casey Mark Portner
• Anna Portuallo

• Durable Medical Equipment & Medical Supplies in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.