NPIMap

Organization Active NPI

Moss Holland Enterprises LLC

Doing business as Bristol Home Infusion

  • Home Infusion Agency
  • Abingdon, VA
National Provider Identifier
1932940574
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
MOSS HOLLAND ENTERPRISES LLC
Doing business as
Bristol Home Infusion
Practice address
18377 Westinghouse Rd
Abingdon, VA 24210-7933
Phone
(276) 676-3468
Fax
(276) 451-0175
NPI assigned
Jun 6, 2024
Last updated
Jun 6, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MOSS HOLLAND ENTERPRISES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Mark HollandNPI 1245929934
Title
Owner
Phone
(803) 447-1959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X NU Primary

Addresses

Primary practice location

18377 Westinghouse Rd
Abingdon, VA 24210-7933

Mailing address

4210 Forest Dale Dr
Little Rock, AR 72223-4610
Phone (803) 447-1959

Other names 1

  • Bristol Home Infusion Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Moss Holland Enterprises LLC3 organizations share this tax ID, including this one
Part of
Moss Holland Enterprises LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1932940574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 FOREST DALE DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234610",
            "telephone_number": "803-447-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18377 WESTINGHOUSE RD",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242107933",
            "telephone_number": "276-676-3468",
            "fax_number": "276-451-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS HOLLAND ENTERPRISES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOSS HOLLAND ENTERPRISES LLC",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-447-1959"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Home Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.