Organization Active NPI

Hannah's Medical and General Supply

  • Customized Equipment (DME)
  • Moreno Valley, CA
National Provider Identifier
1932464401
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
HANNAH'S MEDICAL AND GENERAL SUPPLY
Practice address
24281 Sunnymead Blvd
Moreno Valley, CA 92553-3029
Phone
(951) 221-1125
Fax
(310) 217-8825
NPI assigned
Jul 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Yvette Louise Hannah
Title
Owner
Phone
(951) 221-1125

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary
Dialysis Equipment & Supplies (DME) 332BD1200X
Nursing Facility Supplies (DME) 332BN1400X
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

24281 Sunnymead Blvd
Moreno Valley, CA 92553-3029

Mailing address

24281 Sunnymead Blvd
Moreno Valley, CA 92553-3029
Phone (951) 221-1125

National Provider Directory

National Provider Directory

Locations

24281 Sunnymead Blvd
Moreno Valley, CA 92553
Phone (951) 247-4776

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1932464401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24281 SUNNYMEAD BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533029",
            "telephone_number": "951-221-1125",
            "fax_number": "310-217-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24281 SUNNYMEAD BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533029",
            "telephone_number": "951-221-1125",
            "fax_number": "310-217-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNAH'S MEDICAL AND GENERAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "HANNAH",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-221-1125"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.