LITTLE RIVER RESPIRATORY CARE, INC (NPI# 1427065093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427065093 |
| Entity Type | Organization |
| Organization Name | LITTLE RIVER RESPIRATORY CARE, INC |
| Other Organization Name | LITTLE RIVER MEDICAL EQUIPMENT |
| Practice Address |
5540 E Broadway Rd Suite 7 Mesa AZ 85206-1440 |
| Practice Telephone | 4803258011 |
| Practice Fax Number | 4803257796 |
| Mailing Telephone | 4803258011 |
| Mailing Fax Number | 4803257796 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TERRY H FOX (PRESIDENT) |
| Authorized Official Telephone | 4803258011 |
| Authorized Official Credential | RRT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
105930 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BUS RETAIL LICENSE | 07-30169-M | 01 |
| AZ | SALES TAX LICENSE | 00200886 | 01 |
| AZ | BOARD OF PHARM O2 LICENSE | 105930 | 01 |
| AZ | 551269 | 05 |
| Other Name | Type Code |
|---|---|
| LITTLE RIVER MEDICAL EQUIPMENT | Doing Business As Name - Organization |
| Street Address |
5540 E BROADWAY RD SUITE 7 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982934816 | Patrick Loujohn Kelly Sr. | Counselor | 5540 E Broadway Rd, Suite 13, Mesa, AZ 85206-1440 | 2009-12-25 |
| 1164752093 | Teresa Ann Lewis-teskey | Counselor | 5540 E Broadway Rd, Suite 13, Mesa, AZ 85206-1440 | 2009-12-25 |
| 1689896789 | Sonrise Business Services Inc | Counselor | 5540 E Broadway Rd, Suite 13, Mesa, AZ 85206-1440 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164089736 | Oximed Inc | Durable Medical Equipment & Medical Supplies | 1940 W Baseline Rd Ste 4, Mesa, AZ 85202-9066 | 2019-05-20 |
| 1750823571 | Kempton & Nelson Diagnostics LLC | Durable Medical Equipment & Medical Supplies | 4852 E Baseline Rd, Suite 109, Mesa, AZ 85206-4627 | 2016-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913832 | Ea Medical Company | Durable Medical Equipment & Medical Supplies | 658 S 223rd Ln, Buckeye, AZ 85326-6213 | 2020-08-20 |
| 1790302651 | Dine Dmes LLC | Durable Medical Equipment & Medical Supplies | Nr-13 & B.i.a. 134, Lukachukai, AZ 86507-1200 | 2020-06-26 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1477112167 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 4130 E Wood St Ste 180, Phoenix, AZ 85040-1972 | 2019-06-07 |
| 1134692379 | Theodore Allen | Durable Medical Equipment & Medical Supplies | 1/4 M. East of B.i.a.-13 & B.i.a. N-133, Lukachukai, AZ 86507-1200 | 2019-01-10 |
| 1003384835 | Krypton Health Services LLC | Durable Medical Equipment & Medical Supplies | 1600 W Broadway Rd Ste 100, Tempe, AZ 85282-1138 | 2018-11-09 |
| 1447735691 | Compassion Medical Supply | Durable Medical Equipment & Medical Supplies | 2402 Kimball St, Heber, AZ 85928 | 2018-10-03 |
| 1003332339 | America's Best Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 6700 W Chicago St Ste 3, Chandler, AZ 85226-3337 | 2017-08-18 |
| 1225576226 | Integrity Treatment Solutions | Durable Medical Equipment & Medical Supplies | 1529 N Wilmot Rd, Tucson, AZ 85712-4414 | 2017-02-09 |
| 1588054407 | Pulmocare Respiratory Services, Inc. | Durable Medical Equipment & Medical Supplies | 3538 N Romero Rd Ste 160, Tucson, AZ 85705-5278 | 2015-01-30 |
| Find all providers with the same taxonomy | ||||
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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.