Portales Home Medical Equipment Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

332B00000X Issued in NM

Legal business name

PORTALES HOME MEDICAL EQUIPMENT INC

Practice address

312 S. Main
Portales, NM 88130-5917

Phone

(575) 356-0688

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Laurie Rene Nuckols

Title

President

Phone

(575) 356-0688

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1891874319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S. MAIN",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881300600",
            "telephone_number": "575-356-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S. MAIN",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881305917",
            "telephone_number": "575-356-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTALES HOME MEDICAL EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "NUCKOLS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-356-0688",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S8459",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NMT28F",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tricia Elizabeth Poindexter
• Cynthia Laviece Polk
• Grace Ponto, PTA
• Portales Dental Arts Center Inc
• Portales Health Facilities LP (Loma Linda Nursing and Rehabilitation Center)
• Portales Medical Clinic Limited
• Portales Municipal Schools
• Portales Professional Compounding LLC
• William Porter
• Professional Dental Care of Southern Colorado I PLLC (Thompson Smiles)

• Durable Medical Equipment & Medical Supplies in Portales, NM
• Providers in Portales, NM by specialty
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.