North End Home Medical Services, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NORTH END HOME MEDICAL SERVICES, LLC

Doing business as

HFM Family Health Shoppe

Practice address

3310 Calumet Ave
Manitowoc, WI 54220-5426

Phone

(920) 320-4450

Fax

(920) 320-4498

NPI assigned

Jul 1, 2006

Last updated

Aug 9, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTH END HOME MEDICAL SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Mark Herzog

Title

President/Ceo

Phone

(920) 320-3484

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• HFM Family Health Shoppe Doing business as

Part of

North End Home Medical Services LLC

Locations

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1881623981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 CALUMET AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205426",
            "telephone_number": "920-320-4450",
            "fax_number": "920-320-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 CALUMET AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205426",
            "telephone_number": "920-320-4450",
            "fax_number": "920-320-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH END HOME MEDICAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH END HOME MEDICAL SERVICES, LLC",
        "enumeration_date": "2006-07-01",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "920-320-3484"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41695900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HFM Family Health Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Heather Ann Novak, M.S.CFY
• Julayne C Novak, RNC

• Durable Medical Equipment & Medical Supplies in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.