VALLEY RESPIRATORY AND HOME SUPPLY (NPI# 1053828079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053828079 |
| Entity Type | Organization |
| Organization Name | VALLEY RESPIRATORY AND HOME SUPPLY |
| Practice Address |
818 N 24th Ave Yakima WA 98902-1703 |
| Practice Telephone | 5098955415 |
| Practice Fax Number | 5098347414 |
| Mailing Telephone | 5098955415 |
| Mailing Fax Number | 5098347414 |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |
| Authorized Official Name | ERIK DAVID MICKELSON (OWNER) |
| Authorized Official Telephone | 5099415191 |
| Is Organization Subpart | Y |
| Parent Organization Name | MICKELSON CONSULTING |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
818 N 24TH AVE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1669967865 | Rebecca Schrader | Speech-Language Pathologist | Children's Village 3801 Kern Road, Yakima, WA 98902 | 2018-06-29 |
| 1720572928 | Hyperbaric Centers of Washington | Preventive Medicine | 302 S. 12th Ave., Yakima, WA 98902 | 2018-06-20 |
| 1487155503 | Courtney Lombardi | Nurse Practitioner | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-02-23 |
| 1003329665 | Maria-elena Mendoza | Case Manager/Care Coordinator | 918 E Mead Avenue, Yakima, WA 98902 | 2017-11-06 |
| 1679017610 | Claudia Zepeda | Massage Therapist | 3908 Creekside Loop Ste # 110, Yakima, WA 98902 | 2016-12-09 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 1821490905 | Jen Lynn Silver | Massage Therapist | 3512 Tieton Dr, Yakima, WA 98902 | 2014-09-20 |
| 1194131383 | Brenna Claire Hayes | Genetic Counselor, MS | 2903 W Walnut, Yakima, WA 98902 | 2014-07-08 |
| 1720400435 | Agnes Nadine Jeske | Speech-Language Pathologist | 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 | 2014-01-15 |
| Find all providers in zip 98902 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285979708 | Freedom Medical Supplies LLC. | Durable Medical Equipment & Medical Supplies | 423 W Yakima Ave, Yakima, WA 98902-3408 | 2012-12-10 |
| 1649562620 | Farwest Climate Control, Inc | Durable Medical Equipment & Medical Supplies | 112 N 3rd Ave, Yakima, WA 98902-2630 | 2011-05-09 |
| 1487981247 | Keith L Jones | Durable Medical Equipment & Medical Supplies | 1019 S 48th Ave, Yakima, WA 98908-3707 | 2009-11-14 |
| 1003048505 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6400 W Nob Hill Blvd, Yakima, WA 98908-1929 | 2009-08-17 |
| 1801033758 | Custom Tecnhology Co., Inc. | Durable Medical Equipment & Medical Supplies | 460 Mclaughlin Rd, Yakima, WA 98908-9659 | 2009-01-14 |
| 1629214010 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 610 W Yakima Ave, Yakima, WA 98902-3365 | 2009-01-06 |
| 1881809176 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 12 North 9th Avenue, Yakima, WA 98902-3065 | 2007-05-11 |
| 1669503348 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4001 Summitview Ave Ste 1, Yakima, WA 98908-2945 | 2007-03-07 |
| 1104935410 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 5606 Summit View Avenue, Yakima, WA 98908-3038 | 2006-08-30 |
| 1225147549 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 2204 West Nob Hill Boulevard, Suite B, Yakima, WA 98902-6200 | 2006-08-30 |
| Find all providers in YAKIMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.