Taygan Home Medical

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

TAYGAN HOME MEDICAL

Practice address

3730 Soutel Dr Unit 2304
Jacksonville, FL 32208-1286

Phone

(904) 525-7778

NPI assigned

Nov 2, 2018

Organization subpart

No

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

Authorized official

Name

Nicole Willie Addison

Title

Owner

Phone

(904) 525-7778

Specialties & licenses 1

Addresses

Other names 1

• TAYGAN HOME MEDICAL SUPPLIES Doing business as

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1891263380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N HOGAN ST STE 532",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024201",
            "telephone_number": "904-525-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 SOUTEL DR UNIT 2304",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081286",
            "telephone_number": "904-525-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYGAN HOME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "WILLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-525-7778"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAYGAN HOME MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick Tawil
• Rabih Tawk, MD
• Haulek Tawmging, ,DNP, ARNP, PMHNP-BC
• Pairot Tayapongsak, DMD
• Taygan Capital Holdings LLC
• Taylor Alf Opco LLC
• Catrina Taylor Graham
• Taylor Mobility Services
• Taylor SNF Opco LLC
• Patricia Taylor-Cooke, PH.D.

• Oxygen Equipment & Supplies (DME) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.