Organization Active NPI

Home Care Medical Equipment

  • Customized Equipment (DME)
  • Charleston, WV
National Provider Identifier
1851467906
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
HOME CARE MEDICAL EQUIPMENT
Practice address
6609 Maccorkle Ave SE
Charleston, WV 25304-2923
Phone
(304) 925-5439
Fax
(304) 925-5980
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Paul Krimm
Title
President Owner
Phone
(304) 675-4888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X WV Primary

Addresses

Primary practice location

6609 Maccorkle Ave SE
Charleston, WV 25304-2923

Mailing address

Third and Viand Street
Point Pleasant, WV 25550
Phone (304) 675-1318

Other identifiers 2

IdentifierTypeStateIssuer
0147059002MedicaidWV
0804188MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Home Care Medical Equipment3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6609 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 925-5439

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851467906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THIRD AND VIAND STREET",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "25550",
            "telephone_number": "304-675-1318",
            "fax_number": "304-675-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042923",
            "telephone_number": "304-925-5439",
            "fax_number": "304-925-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KRIMM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "304-675-4888"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0147059002",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0804188",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.