Active NPI
At Home Medical Supply
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
National Provider Identifier
1982176996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- AT HOME MEDICAL SUPPLY
- Practice address
- 4040 W 71St St
Indianapolis, IN 46268-5722 - Phone
- (888) 678-4160
- Fax
- (866) 365-4846
- NPI assigned
- Jan 2, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Leatrice Riley
- Title
- Director
- Phone
- (888) 678-4160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
4040 W 71St St
Indianapolis, IN 46268-5722
Mailing address
4040 W 71St St
Indianapolis, IN 46268-5722
Phone (888) 678-4160
National Provider Directory
National Provider DirectoryLocations
4040 W 71st St
Indianapolis, IN 46268
Phone (317) 798-9690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546387200000",
"number": "1982176996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 W 71ST ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462685722",
"telephone_number": "888-678-4160",
"fax_number": "866-365-4846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 W 71ST ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462685722",
"telephone_number": "888-678-4160",
"fax_number": "866-365-4846"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AT HOME MEDICAL SUPPLY",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-02",
"last_updated": "2019-01-02",
"status": "A",
"authorized_official_last_name": "RILEY",
"authorized_official_first_name": "LEATRICE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "888-678-4160",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.