Organization Active NPI

Moore Home Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • East Chicago, IN
National Provider Identifier
1871645739
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MOORE HOME MEDICAL SUPPLY, INC.
Practice address
517 Exchange Ave
East Chicago, IN 46312-3223
Phone
(219) 392-3189
Fax
(219) 392-3193
NPI assigned
Jan 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Ludeen Angelety-Moore, RN
Title
Owner
Phone
(219) 392-6858

Specialties & licenses 1

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

Addresses

Primary practice location

517 Exchange Ave
East Chicago, IN 46312-3223

Mailing address

PO Box 1733
Gary, IN 46409-0733
Phone (219) 392-3189

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871645739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1733",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464090733",
            "telephone_number": "219-392-3189",
            "fax_number": "219-392-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 EXCHANGE AVE",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123223",
            "telephone_number": "219-392-3189",
            "fax_number": "219-392-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE HOME MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANGELETY-MOORE",
        "authorized_official_first_name": "LUDEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-392-6858",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Chicago, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.