Organization Active NPI

Home Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Batavia, NY
National Provider Identifier
1881741395
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOME MEDICAL SUPPLY, INC.
Practice address
653 E Main St
Batavia, NY 14020-2811
Phone
(585) 343-9393
Fax
(585) 343-8310
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Dwayne E Wall
Title
President
Phone
(585) 343-9393

Specialties & licenses 1

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

Addresses

Primary practice location

653 E Main St
Batavia, NY 14020-2811

Mailing address

PO Box 190
Batavia, NY 14021-0190
Phone (585) 343-9393

Other identifiers 2

IdentifierTypeStateIssuer
02134834MedicaidNY
01446340MedicaidNY

National Provider Directory

National Provider Directory

Locations

653 E Main St
Batavia, NY 14020
Phone (585) 343-9393

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881741395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140210190",
            "telephone_number": "585-343-9393",
            "fax_number": "585-343-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 E MAIN ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202811",
            "telephone_number": "585-343-9393",
            "fax_number": "585-343-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-343-9393",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02134834",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01446340",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.