Active NPI
American Home Medical Supply LLC
- Durable Medical Equipment & Medical Supplies
- Laredo, TX
National Provider Identifier
1932172715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- AMERICAN HOME MEDICAL SUPPLY LLC
- Practice address
- 5918 McPherson Rd Ste 4
Laredo, TX 78041-6159 - Phone
- (956) 712-2273
- Fax
- (956) 712-3766
- NPI assigned
- Feb 10, 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
- Kenneth Edward Wiese
- Title
- General Manager
- Phone
- (830) 775-4060
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 0082282 | TX | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
5918 McPherson Rd Ste 4
Laredo, TX 78041-6159
Mailing address
1011 E 7TH St
Del Rio, TX 78840-4162
Phone (830) 768-1818
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177619704 | Medicaid | TX | |
| 507642 | Other | TX | INSURANCE PROVIDER ID |
| 177619703 | Medicaid | TX | |
| 177619702 | Medicaid | TX | |
| 177619701 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
5918 McPherson Rd
Ste 4
Laredo, TX 78041
Phone (956) 712-2273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219190400000",
"number": "1932172715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 E 7TH ST",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788404162",
"telephone_number": "830-768-1818",
"fax_number": "830-778-8618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5918 MCPHERSON RD STE 4",
"city": "LAREDO",
"state": "TX",
"postal_code": "780416159",
"telephone_number": "956-712-2273",
"fax_number": "956-712-3766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN HOME MEDICAL SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-10",
"last_updated": "2008-08-20",
"status": "A",
"authorized_official_last_name": "WIESE",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "830-775-4060"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "TX",
"license": "0082282",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177619704",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE PROVIDER ID",
"identifier": "507642",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177619703",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177619702",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177619701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.