Active NPI
Home Respiratory Care Inc
- Durable Medical Equipment & Medical Supplies
- Starke, FL
National Provider Identifier
1861469959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 1434
- Legal business name
- HOME RESPIRATORY CARE INC
- Practice address
- 417B Edwards Rd
Starke, FL 32091-3903 - Phone
- (904) 966-0520
- Fax
- (904) 966-0521
- NPI assigned
- Mar 7, 2006
- Last updated
- May 13, 2015
- 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
- Mr. Bret J Hines, CRTT
- Title
- President
- Phone
- (904) 966-0520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1434 | FL | Primary |
Addresses
Primary practice location
417B Edwards Rd
Starke, FL 32091-3903
Mailing address
417B Edwards Rd
Starke, FL 32091-3903
Phone (904) 966-0520
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M2553 | Other | FL | BCBS |
| 022879600 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
417B Edwards Rd
Starke, FL 32091
Phone (904) 966-0520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431475200000",
"number": "1861469959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417B EDWARDS RD",
"city": "STARKE",
"state": "FL",
"postal_code": "320913903",
"telephone_number": "904-966-0520",
"fax_number": "904-966-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417B EDWARDS RD",
"city": "STARKE",
"state": "FL",
"postal_code": "320913903",
"telephone_number": "904-966-0520",
"fax_number": "904-966-0521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME RESPIRATORY CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-07",
"last_updated": "2015-05-13",
"status": "A",
"authorized_official_last_name": "HINES",
"authorized_official_first_name": "BRET",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-966-0520",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CRTT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "1434",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M2553",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022879600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Starke, FL
- Robert H Hardage Jr., M.D.
- Donald Lee Hardenbrook
- Morgan Herrington, PTA30663
- Rebecca Lynne Hinson, LMT
- Winifred Mary Holland, LMHC
- Dona Hunt, MD
- Joelle M Innocent-Simon, D.O.
- Integrated Regional Laboratories Pathology Services, LLC
- Ipn Emergency Physicians of North Florida PA
- Vivian Ann Jackson, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.