Organization Active NPI

Rsi Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1972882959
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RSI MEDICAL SUPPLY LLC
Practice address
2636 S Loop W
Suite 675
Houston, TX 77054-5638
Phone
(713) 440-7149
NPI assigned
Aug 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Authorized official

Name
Joe W. Luceri
Title
Cfo
Phone
(314) 447-7747

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X

Addresses

Primary practice location

2636 S Loop W
Suite 675
Houston, TX 77054-5638

Mailing address

2636 S Loop W
Suite 675
Houston, TX 77054-5638
Phone (713) 440-7149

Other identifiers 3

IdentifierTypeStateIssuer
704498MedicaidAZ
295033902MedicaidTX
295033901MedicaidTX

Other names 1

  • United Medical Supply Group Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2636 S Loop W
Ste 675
Houston, TX 77054
Phone (713) 440-7149

7100 Grand Blvd
Ste A
Houston, TX 77054
Phone (713) 440-7149

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1972882959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 S LOOP W",
            "address_2": "SUITE 675",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545638",
            "telephone_number": "713-440-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 S LOOP W",
            "address_2": "SUITE 675",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545638",
            "telephone_number": "713-440-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSI MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "LUCERI",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "314-447-7747"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "704498",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "295033902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "295033901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Medical Supply Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.