Organization Active NPI

Nationwide Home Medical Supply, Inc.

Doing business as Trusted Mobility Repair

  • Durable Medical Equipment & Medical Supplies
  • Warner Robins, GA
National Provider Identifier
1871606863
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NATIONWIDE HOME MEDICAL SUPPLY, INC.
Doing business as
Trusted Mobility Repair
Practice address
405 Duke Ave.
Warner Robins, GA 31093
Phone
(858) 923-1633
Fax
(858) 750-4445
NPI assigned
Aug 16, 2006
Last updated
Dec 23, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
HOPE HEALTH VENTURES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Renee Cloud
Title
Assistant Secretary
Phone
(858) 436-2199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

405 Duke Ave.
Warner Robins, GA 31093

Mailing address

6605 Nancy Ridge Dr.
San Diego, CA 92121-2253
Phone (858) 923-1633

Other names 1

  • Trusted Mobility Repair Doing business as

National Provider Directory

National Provider Directory

Locations

290 Old Dixie Hwy
Vero Beach, FL 32962
Phone (772) 564-7077

405 Duke Ave
Warner Robins, GA 31093
Phone (478) 302-6799

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1871606863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 NANCY RIDGE DR.",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212253",
            "telephone_number": "858-923-1633",
            "fax_number": "858-750-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 DUKE AVE.",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31093",
            "telephone_number": "858-923-1633",
            "fax_number": "858-750-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONWIDE HOME MEDICAL SUPPLY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOPE HEALTH VENTURES, LLC",
        "enumeration_date": "2006-08-16",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "CLOUD",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "858-436-2199"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trusted Mobility Repair",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.