ROSWELL HOME MEDICAL INC (NPI# 1104887769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104887769 |
| Entity Type | Organization |
| Organization Name | ROSWELL HOME MEDICAL INC |
| Other Organization Name | ROTECH |
| Practice Address |
4201 Yale Blvd Ne Suite E Albuquerque NM 87107-4151 |
| Mailing Address |
Po Box 27968 Salt Lake City UT 84127-0968 |
| Practice Telephone | 5053438761 |
| Practice Fax Number | 5053438783 |
| Mailing Telephone | 7654486685 |
| Mailing Fax Number | 7654464287 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-03-31 |
| Authorized Official Name | MRS. ROBIN L MENCHEN (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 4078224600 |
| Is Organization Subpart | Y |
| Parent Organization Name | ROTECH HEALTHCARE INC |
| 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 | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 25834347 | 05 |
| Other Name | Type Code |
|---|---|
| MAJOR MEDICAL | Doing Business As Name - Organization |
| ROTECH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184685943 | Roswell Home Medical Inc | Durable Medical Equipment & Medical Supplies | 1398 Weimer Rd, Suite 202, Taos, NM 87571-6397 | 2006-03-31 |
| 1255392015 | Roswell Home Medical Inc | Durable Medical Equipment & Medical Supplies | 107 S Union Ave, Roswell, NM 88203-2953 | 2006-03-31 |
| 1568423325 | Roswell Home Medical Inc | Durable Medical Equipment & Medical Supplies | 1549 6th Street, Suite C, Santa Fe, NM 87505 | 2006-03-31 |
| 1750342416 | Roswell Home Medical Inc | Durable Medical Equipment & Medical Supplies | 509 W Mahone Dr, Suite B, Artesia, NM 88210-2045 | 2006-03-31 |
| 1295796043 | Roswell Home Medical Inc | Durable Medical Equipment & Medical Supplies | 814 Boardman Dr, Gallup, NM 87301-4711 | 2006-03-31 |
| 1942261797 | Roswell Home Medical Inc | Durable Medical Equipment & Medical Supplies | 3620 N Prince St, Suite B, Clovis, NM 88101-9786 | 2006-03-31 |
| 1598726341 | Roswell Home Medical Inc | Durable Medical Equipment & Medical Supplies | 2948 Highway 180 E, Silver City, NM 88061-7798 | 2006-03-31 |
| 1396706958 | Roswell Home Medical Inc | Durable Medical Equipment & Medical Supplies | 11525 W Fairview Ave, Boise, ID 83713-7835 | 2006-03-31 |
| 1467413021 | Roswell Home Medical Inc | Durable Medical Equipment & Medical Supplies | 1227 N Railroad Ave, Suite A-6, Espanola, NM 87532-3147 | 2006-03-31 |
| Street Address |
4201 YALE BLVD NE SUITE E |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87107-4151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589785 | Benjamin Argant | Behavior Technician | 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 | 2020-08-20 |
| 1679138861 | Susan Luna, Lpcc LLC | Counselor | 3221 B Candelaria Ne, Albuquerque, NM 87107 | 2019-05-03 |
| 1407310881 | Eleanor Cloe Tibbetts | Speech-Language Pathologist | 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 | 2019-01-30 |
| 1386174829 | Triple D Medical Transportation, LLC. | Secured Medical Transport (VAN) | 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 | 2017-06-18 |
| 1487100715 | Kayleen Weinandt | Community/Behavioral Health | 3301 Los Arboles Ne, Albuquerque, NM 87107 | 2016-08-28 |
| 1811345549 | Inverse Medical, LLC | Non-emergency Medical Transport (VAN) | 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 | 2016-06-03 |
| 1710349220 | Evolv Strong, LLC | Specialist/Technologist | 3201 Candelaria Rd Ne, Albuquerque, NM 87107 | 2016-03-23 |
| 1982072443 | Erik Robinson | Social Worker | 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 | 2015-09-14 |
| 1033505763 | Sam Newmon Ma, Lpcc | Counselor | 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 | 2015-04-09 |
| 1760896203 | Jocelyn Fiaschetti | Social Worker | 7704 4th Street Nw, Albuquerque, NM 87107 | 2014-06-12 |
| Find all providers in zip 87107 | ||||
| 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 |
|---|---|---|---|---|
| 1235788100 | Eric J Rico | Durable Medical Equipment & Medical Supplies | 2001 Mountain Rd Nw Ste F2, Albuquerque, NM 87104-1484 | 2019-09-04 |
| 1801376942 | Supercare, Inc. | Durable Medical Equipment & Medical Supplies | 9420 San Mateo Blvd Ne Ste C, Albuquerque, NM 87113-1400 | 2018-08-17 |
| 1750875621 | Home Medical Equipment Specialists, LLC | Durable Medical Equipment & Medical Supplies | 3901 Masthead St Ne, Albuquerque, NM 87109-4481 | 2018-06-14 |
| 1689186868 | Crandall Medical | Durable Medical Equipment & Medical Supplies | 4924 Wellsburg Ave Nw, Albuquerque, NM 87120-3801 | 2017-10-28 |
| 1841711553 | Bernalillo Health Supplies | Durable Medical Equipment & Medical Supplies | 500 Marquette Avenue 500 Marquette Avenue Suite 1200, Albuquerque, NM 87102 | 2017-07-03 |
| 1407396989 | Strive Medical LLC | Durable Medical Equipment & Medical Supplies | 2655 Pan American Fwy Ne, Ste G, Albuquerque, NM 87107-1639 | 2017-03-02 |
| 1831563238 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5620 San Francisco Rd Ne Ste A, Albuquerque, NM 87109-4656 | 2015-11-23 |
| 1477920882 | Modern Creations Construction | Durable Medical Equipment & Medical Supplies | 9716 Torriso Ct Sw, Albuquerque, NM 87121-5280 | 2015-09-02 |
| 1457734253 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1820 Unser Blvd Nw, Albuquerque, NM 87120-3933 | 2015-06-30 |
| 1538564877 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 11018 Montgomery Blvd Ne, Albuquerque, NM 87111-3962 | 2014-10-29 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87107 |
Please comment or provide details below to improve the information on ROSWELL HOME MEDICAL INC.
| 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.