Organization Active NPI

Sorrell Home Medical Equipment, LLC

  • Oxygen Equipment & Supplies (DME)
  • Georgetown, KY
National Provider Identifier
1962664391
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
MG0634 Issued in KY
Legal business name
SORRELL HOME MEDICAL EQUIPMENT, LLC
Practice address
101 Eastside Dr
Suite a
Georgetown, KY 40324-8763
Phone
(502) 570-9835
NPI assigned
Jun 26, 2008
Last updated
Mar 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Authorized official

Name
Joshua Edwin Sorrell
Title
Owner
Phone
(502) 570-9835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X MG0634 KY Primary

Addresses

Primary practice location

101 Eastside Dr
Suite a
Georgetown, KY 40324-8763

Mailing address

208 W Pleasant St
Suite 3
Cynthiana, KY 41031-2421
Phone (502) 570-9835

Other identifiers 1

IdentifierTypeStateIssuer
90005901MedicaidKY

National Provider Directory

National Provider Directory

Locations

208 W Pleasant St
Cynthiana, KY 41031

208 W Pleasant St
Ste 3
Cynthiana, KY 41031
Phone (859) 234-4441

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1962664391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W PLEASANT ST",
            "address_2": "SUITE 3",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410312421",
            "telephone_number": "502-570-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EASTSIDE DR",
            "address_2": "SUITE A",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248763",
            "telephone_number": "502-570-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORRELL HOME MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "SORRELL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-570-9835"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "KY",
            "license": "MG0634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90005901",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.