Great American Scooter Company of Humble LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0071765 Issued in TX

Legal business name

GREAT AMERICAN SCOOTER COMPANY OF HUMBLE LLC

Practice address

2111 FM 1960 Rd East
Humble, TX 77338-5229

Phone

(832) 445-0956

NPI assigned

Sep 26, 2006

Last updated

Mar 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Troy R LilesNPI 1972887503

Title

Co-Owner

Phone

(832) 445-0956

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Troy Liles, ATP

  • Other Technician
  • Humble, TX
  • NPI 1972887503
  NPD Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1871694216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 FM 1960 ROAD EAST",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77338",
            "telephone_number": "832-445-0956",
            "fax_number": "832-445-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 FM 1960 RD EAST",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385229",
            "telephone_number": "832-445-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT AMERICAN SCOOTER COMPANY OF HUMBLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "LILES",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "832-445-0956",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0071765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156285202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elbert F Gray
• Jouvonna Lynette Gray, FNP
• Marissa Erin Gray, OD
• Wilhelmina Gray
• Great American Medical Supply LLC (Great American Medical Supply)
• Greater Houston Kidney Clinic PA (Focus Kidney Care)
• Greater Houston Pediatric Dentistry - Humble, PLLC
• Greater Texas Pharmacy
• Ashley Green
• Kimberly Green

• Oxygen Equipment & Supplies (DME) in Humble, TX
• Providers in Humble, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.