Organization Active NPI

Home Respiratory Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Starke, FL
National Provider Identifier
1861469959
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1434 Issued in FL
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
M2553OtherFLBCBS
022879600MedicaidFL

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.