ROSWELL HOME MEDICAL INC (NPI# 1396706958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396706958 |
| Entity Type | Organization |
| Organization Name | ROSWELL HOME MEDICAL INC |
| Other Organization Name | MAJOR MEDICAL SUPPLY |
| Practice Address |
11525 W Fairview Ave Boise ID 83713-7835 |
| Mailing Address |
Po Box 266 Mifflinburg PA 17844-0266 |
| Practice Telephone | 2089179070 |
| Practice Fax Number | 2083751238 |
| Mailing Telephone | 5709668030 |
| Mailing Fax Number | 5709668040 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2014-06-06 |
| Authorized Official Name | MRS. ROBIN L MENCHEN (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 4078224600 |
| Is Organization Subpart | Y |
| Parent Organization Name | ROTECH HEALTHCARE INC |
| Parent Organization TIN |
|
| 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 |
|---|---|---|---|
| ID | 1396706958 | 05 |
| Other Name | Type Code |
|---|---|
| MAJOR MEDICAL SUPPLY | 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 |
| 1104887769 | Roswell Home Medical Inc | Durable Medical Equipment & Medical Supplies | 4201 Yale Blvd Ne, Suite E, Albuquerque, NM 87107-4151 | 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 |
| 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 |
11525 W FAIRVIEW AVE |
| City | BOISE |
| State | ID |
| Zip Code | 83713-7835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| 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. |
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| 1831741354 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 1070 N Curtis Rd Ste 110, Boise, ID 83706-1248 | 2019-07-15 |
| 1023581055 | Dermaclinical, Inc. | Durable Medical Equipment & Medical Supplies | 7154 W State St Ste 397, Boise, ID 83714-7421 | 2019-01-02 |
| 1467923789 | Amador Medical, LLC | Durable Medical Equipment & Medical Supplies | 963 S Orchard St Ste 203, Boise, ID 83705-1962 | 2018-12-14 |
| 1558840900 | Pure Vita Co. | Durable Medical Equipment & Medical Supplies | 4775 N Sunderland Ln, Boise, ID 83704-2216 | 2018-08-07 |
| 1922599067 | Idaho Sleep Specialists, PC | Durable Medical Equipment & Medical Supplies | 403 S 11th St Ste 210, Boise, ID 83702-6968 | 2018-05-24 |
| 1548784036 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 901 N Curtis Rd Ste 101, Boise, ID 83706-1339 | 2017-07-27 |
| 1386198141 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1276 W River St Ste 138, Boise, ID 83702-7066 | 2016-08-10 |
| 1164843272 | Everything Cpap, LLC | Durable Medical Equipment & Medical Supplies | 1166 N Cole Rd, Suite D, Boise, ID 83704-8658 | 2013-12-17 |
| 1073945887 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3233 N Cole Rd, Boise, ID 83704-4402 | 2013-08-02 |
| Find all providers in BOISE | ||||
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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.