Active NPI
Moore Home Medical Supply, Inc.
- Durable Medical Equipment & Medical Supplies
- East Chicago, IN
National Provider Identifier
1871645739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2020
- 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
- Mrs. Ludeen Angelety-Moore, RN
- Title
- Owner
- Phone
- (219) 392-6858
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.