NPI Code Detail JSON Logo

1740356807 NPI number — HOMEDIC INC

NPI Number: 1740356807
Health Care Provider/Practitioner: HOMEDIC INC

Information about “1740356807” NPI (HOMEDIC INC) exists in 1740356807 in HTML format HTML  |  1740356807 in plain Text format TXT  |  1740356807 in PDF (Portable Document Format) PDF  |  1740356807 in an XML format XML  formats.

NPI Number : 1740356807 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740356807",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HOMEDIC INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "671 E COOLEY DRIVE # 104",
    "SecondLineMailingAddress": "PO BOX 1344",
    "MailingAddressCityName": "COLTON",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92324",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "909-422-1121",
    "MailingAddressFaxNumber": "909-422-1191",
    "FirstLinePracticeLocationAddress": "671 E COOLEY DRIVE # 104",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLTON",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92324",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "909-422-1121",
    "PracticeLocationAddressFaxNumber": "909-422-1191",
    "EnumerationDate": "11/28/2006",
    "LastUpdateDate": "03/04/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FENTRESS",
    "AuthorizedOfficialFirstName": "MARIE",
    "AuthorizedOfficialMiddleName": "VERONICA",
    "AuthorizedOfficialTitle": "DIRECTOR OF OPERATIONS",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "909-422-1112",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332BX2000X",
          "TaxonomyName": "Oxygen Equipment & Supplies (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.