Desoto Home Health Care Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

351 Issued in FL

Legal business name

DESOTO HOME HEALTH CARE INC.

Practice address

205 Carlton St
Wauchula, FL 33873-3317

Phone

(863) 773-9115

Fax

(863) 773-0749

NPI assigned

Dec 5, 2006

Last updated

Aug 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Ashley Graham

Title

Manager

Phone

(863) 773-9115

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501632000000",
    "number": "1902964612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CARLTON ST",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338733317",
            "telephone_number": "863-773-9115",
            "fax_number": "863-773-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CARLTON ST",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338733317",
            "telephone_number": "863-773-9115",
            "fax_number": "863-773-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2017-08-02",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "863-773-9115",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027419400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001553700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Wauchula, FL
• Providers in Wauchula, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.