Active NPI
My Sacred Home DME/HME,LLC
- Durable Medical Equipment & Medical Supplies
- Wichita, KS
National Provider Identifier
1801020052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MY SACRED HOME DME/HME,LLC
- Practice address
- 1837 N Rock Road CT
Wichita, KS 67206-1251 - Phone
- (316) 440-7501
- Fax
- (316) 558-5479
- NPI assigned
- May 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jannifer S Terry, RN
- Title
- President
- Phone
- (316) 440-4820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1837 N Rock Road CT
Wichita, KS 67206-1251
Mailing address
1837 N Rock Road CT
Wichita, KS 67206-1251
Phone (316) 440-7501
Other names 1
- MSH DME
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288656000000",
"number": "1801020052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1837 N ROCK ROAD CT",
"city": "WICHITA",
"state": "KS",
"postal_code": "672061251",
"telephone_number": "316-440-7501",
"fax_number": "316-558-5479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1837 N ROCK ROAD CT",
"city": "WICHITA",
"state": "KS",
"postal_code": "672061251",
"telephone_number": "316-440-7501",
"fax_number": "316-558-5479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY SACRED HOME DME/HME,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-02",
"last_updated": "2010-11-02",
"status": "A",
"authorized_official_last_name": "TERRY",
"authorized_official_first_name": "JANNIFER",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "316-440-4820",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MSH DME",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.