NPIMap

Organization Active NPI

Home Ability Store, LLC

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
National Provider Identifier
1982058004
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1313961 Issued in FL
Legal business name
HOME ABILITY STORE, LLC
Practice address
7660 Philips Highway, Suite 4
Jacksonville, FL 32256
Phone
(904) 999-4705
NPI assigned
Apr 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Authorized official

Name
Mr. Thierry Graber
Title
President & Ceo
Phone
(904) 366-9476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1313961 FL Primary

Addresses

Primary practice location

7660 Philips Highway, Suite 4
Jacksonville, FL 32256

Mailing address

7660 Philips Highway, Suite 4
Jacksonville, FL 32256
Phone (904) 999-4705

Other identifiers 1

IdentifierTypeStateIssuer
1313961OtherFLAHCA HME LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

7660 Philips Hwy
Ste 4
Jacksonville, FL 32256
Phone (904) 999-4705

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1982058004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660 PHILIPS HIGHWAY, SUITE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-999-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7660 PHILIPS HIGHWAY, SUITE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-999-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME ABILITY STORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "GRABER",
        "authorized_official_first_name": "THIERRY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "904-366-9476",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1313961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA HME LICENSE NUMBER",
            "identifier": "1313961",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.