NPIMap

Organization Active NPI

Alpine Home Medical Equipment LLC

  • Durable Medical Equipment & Medical Supplies
  • Draper, UT
National Provider Identifier
1972109817
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ALPINE HOME MEDICAL EQUIPMENT LLC
Practice address
132 E 13065 S Ste 100
Draper, UT 84020-8634
Phone
(801) 590-2714
Fax
(801) 463-2880
NPI assigned
Dec 7, 2020
Last updated
Dec 7, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ALPINE HOME MEDICAL EQUIPMENT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Jay Broadbent
Title
Ao
Phone
(801) 590-2703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

132 E 13065 S Ste 100
Draper, UT 84020-8634

Mailing address

132 E 13065 S Ste 200
Draper, UT 84020-5646
Phone (801) 590-2714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210908002619 UT DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 9830210863 Practice locations: Draper, UT

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Alpine Home Medical LLC132 E 13065 S, Draper, UT 84020-5646(801) 463-0044 Hospital Beds (Electric)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Patient Lifts|Power Operated Vehicles (Scooters)|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs (Standard Power Related Accessories)|Wheelcha… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Alpine Home Medical Equipment LLC11 organizations share this tax ID, including this one
Part of
Alpine Home Medical Equipment LLC

Other organizations with this tax ID 10

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

Locations

132 E 13065 S
Ste 100
Draper, UT 84020
Phone (801) 590-2714

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1972109817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E 13065 S STE 200",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205646",
            "telephone_number": "801-590-2714",
            "fax_number": "801-463-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E 13065 S STE 100",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208634",
            "telephone_number": "801-590-2714",
            "fax_number": "801-463-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE HOME MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALPINE HOME MEDICAL EQUIPMENT LLC",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "BROADBENT",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "801-590-2703"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.