Active NPI
Home Care Equipment, Inc.
- Oxygen Equipment & Supplies (DME)
- Poplar Bluff, MO
National Provider Identifier
1902862816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 2009033278
- Legal business name
- HOME CARE EQUIPMENT, INC.
- Practice address
- 1700 W Harper St
Poplar Bluff, MO 63901-4121 - Phone
- (573) 686-3720
- Fax
- (573) 686-2929
- NPI assigned
- Apr 21, 2006
- 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
- Mrs. Sara N Brumitt
- Title
- Vice-President
- Phone
- (573) 686-3720
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | MG00350 | AR | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 203000102 | IL | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | MG0720 | KY | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 2009033278 | MO | Primary |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 7147366 | TN |
Addresses
Primary practice location
1700 W Harper St
Poplar Bluff, MO 63901-4121
Mailing address
1700 W Harper St
Poplar Bluff, MO 63901-4121
Phone (573) 686-3720
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105347 | Other | MO | BCBS OF MO PROVIDER NUMBE |
| 621336502 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
1135 Lester St
Poplar Bluff, MO 63901
6240 Lemay Ferry Rd
Saint Louis, MO 63129
Phone (636) 282-2403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693267200000",
"number": "1902862816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 W HARPER ST",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639014121",
"telephone_number": "573-686-3720",
"fax_number": "573-686-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 W HARPER ST",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639014121",
"telephone_number": "573-686-3720",
"fax_number": "573-686-2929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME CARE EQUIPMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-21",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A",
"authorized_official_last_name": "BRUMITT",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "573-686-3720",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "AR",
"license": "MG00350",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "IL",
"license": "203000102",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "KY",
"license": "MG0720",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "MO",
"license": "2009033278",
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "TN",
"license": "7147366",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MO PROVIDER NUMBE",
"identifier": "105347",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "621336502",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.