Broadened Horizons Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

BROADENED HORIZONS INC.

Practice address

9025 Burton CT NW
Office Suite
Rice, MN 56367-6602

Phone

(612) 851-1040

Fax

(866) 672-8919

NPI assigned

Jul 25, 2011

Last updated

Dec 9, 2014By 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. Mark Earl Felling, EE, MBA

Title

President

Phone

(612) 851-1040

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1962780932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 BURTON CT NW",
            "address_2": "OFFICE SUITE",
            "city": "RICE",
            "state": "MN",
            "postal_code": "563676602",
            "telephone_number": "612-851-1040",
            "fax_number": "866-672-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 BURTON CT NW",
            "address_2": "OFFICE SUITE",
            "city": "RICE",
            "state": "MN",
            "postal_code": "563676602",
            "telephone_number": "612-851-1040",
            "fax_number": "866-672-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADENED HORIZONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "FELLING",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-851-1040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EE, MBA"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MN",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Rice, MN
• Providers in Rice, MN by specialty
• Customized Equipment (DME) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.