Home Again Medical, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

SRKHA99291167 Issued in CA

Legal business name

HOME AGAIN MEDICAL, INC

Practice address

200 Derek PL
Roseville, CA 95678-7154

Phone

(916) 773-5959

Fax

(916) 773-2113

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Douglas J Olsen

Title

President

Phone

(916) 773-5959

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1871590729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DEREK PL",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956787154",
            "telephone_number": "916-773-5959",
            "fax_number": "916-773-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DEREK PL",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956787154",
            "telephone_number": "916-773-5959",
            "fax_number": "916-773-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AGAIN MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-773-5959",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "SRKHA99291167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01805F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark H Holt, D.D.S.,M.S.
• Sherri Lynn Holt, PSYD., LMFT
• Tyler Holt, D.D.S.
• Nancy Lee Holtz, N.P.
• Jessica Holzer, RBT
• Bruce Honaker
• Kaitlyn Honeychurch
• Joung Y Hong, PHARM D
• Susan L. Hooten, MD
• Benjamin Hoover, LMFT

• Durable Medical Equipment & Medical Supplies in Roseville, CA
• Providers in Roseville, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.