Active NPI
McConaghy Home Medical, LLC
- Durable Medical Equipment & Medical Supplies
- Chatom, AL
National Provider Identifier
1871990929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MCCONAGHY HOME MEDICAL, LLC
- Practice address
- 16900 Jordan Street
Suite B
Chatom, AL 36518 - Phone
- (251) 769-2082
- NPI assigned
- Dec 4, 2014
- 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
- Dan McConaghy, RPH
- Title
- Owner
- Phone
- (251) 769-2082
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | AL | Primary | |
| Customized Equipment (DME) | 332BC3200X | AL | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | AL |
Addresses
Primary practice location
16900 Jordan Street
Suite B
Chatom, AL 36518
Mailing address
P. O. Box 1325
Chatom, AL 36518
Other names 1
- McConaghy Home Medical/Chatom
National Provider Directory
National Provider Directory- Tax ID family
- McConaghy Home Medical LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Grove Hill, AL
- NPI 1073917266
-
- Durable Medical Equipment & Medical Supplies
- Thomasville, AL
- NPI 1073919361
Locations
16900 Jordan St
Ste B
Chatom, AL 36518
Phone (251) 769-2082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421193600000",
"number": "1871990929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 1325",
"city": "CHATOM",
"state": "AL",
"postal_code": "36518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16900 JORDAN STREET",
"address_2": "SUITE B",
"city": "CHATOM",
"state": "AL",
"postal_code": "36518",
"telephone_number": "251-769-2082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCCONAGHY HOME MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-04",
"last_updated": "2015-01-14",
"status": "A",
"authorized_official_last_name": "MCCONAGHY",
"authorized_official_first_name": "DAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "251-769-2082",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AL",
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "AL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "McConaghy Home Medical/Chatom",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chatom, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.