BREATH OF LIFE O2 LLC. (NPI# 1609013747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609013747 |
| Entity Type | Organization |
| Organization Name | BREATH OF LIFE O2 LLC. |
| Other Organization Name | BREATH OF LIFE HOME MEDICAL EQUIPMENT AND RESPIRATORY SERVICES INC. |
| Practice Address |
17005 Westfield Park Rd Suite 1 Westfield IN 46074-8428 |
| Practice Telephone | 3178963048 |
| Practice Fax Number | 8666115501 |
| Mailing Telephone | 3178963048 |
| Mailing Fax Number | 8666115501 |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2015-06-11 |
| Authorized Official Name | MR. JOHN PHILLIP NAUYOKAS (PRESIDENT/ CEO) |
| Authorized Official Telephone | 3178963048 |
| Authorized Official Credential | CRT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | ========= | IN | Suppliers |
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
========= | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 6219550001 | 01 | |
| IN | 200935180A | 05 |
| Other Name | Type Code |
|---|---|
| Breath of Life Home Medical Equipment and Respiratory Services Inc. | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | BREATH OF LIFE O2 LLC | 9850 E 30th Street, Indianapolis, IN 46229 |
| Street Address |
17005 WESTFIELD PARK RD SUITE 1 |
| City | WESTFIELD |
| State | IN |
| Zip Code | 46074-8428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366861536 | Breath of Life O2 LLC | Durable Medical Equipment & Medical Supplies | 17005 Westfield Park Rd, Suite 1, Westfield, IN 46074-8428 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477191088 | Jessica Lynn Kutz | Specialist/Technologist | 19000 E 191st Street, Suite K, Westfield, IN 46074 | 2019-12-13 |
| 1851805774 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 1447 South Waterleaf Dr, Westfield, IN 46074 | 2017-11-30 |
| 1760939946 | Accelerated Rehabilitation Centers, Ltd. | Physical Therapist | 956 Tournament Trail, Westfield, IN 46074 | 2016-09-06 |
| 1285188805 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 16088 Spring Mill Station Dr, Westfield, IN 46074 | 2016-08-11 |
| 1740608157 | Kumar Mokkala | Physical Therapist | 14902 Shelborne Road, Westfield, IN 46074 | 2014-04-02 |
| 1649608886 | Carol Hooe Hughes | Counselor | 14126 Secretariat Ct, Carmel, IN 46074 | 2013-10-25 |
| 1043657166 | Krause Dental | Clinic/Center | 3247 East Sr32, Westfield, IN 46074 | 2013-05-30 |
| 1841539517 | Ruby Christina Burris | Marriage & Family Therapist | 120 Camilla Court, Suite D, Westfield, IN 46074 | 2013-01-31 |
| 1720355704 | Drew Jacobson | Physical Therapy Assistant | 16620 Lakeville Crossing, Westfield, IN 46074 | 2011-11-19 |
| 1841491271 | Glenda Janine Huffman | Physical Therapist | 614 Apollo Pky, Westfield, IN 46074 | 2007-05-31 |
| Find all providers in zip 46074 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477626133 | Rcs Management Corporation | Durable Medical Equipment & Medical Supplies | 16535 Southpark Dr, Westfield, IN 46074-8347 | 2006-11-17 |
| 1366861536 | Breath of Life O2 LLC | Durable Medical Equipment & Medical Supplies | 17005 Westfield Park Rd, Suite 1, Westfield, IN 46074-8428 | 2014-04-15 |
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|---|---|---|---|---|
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| 1487147526 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 2330 S Dixon Rd # 315, Kokomo, IN 46902-6411 | 2018-06-13 |
| 1740779750 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 8402 Harcourt Rd Ste 108, Indianapolis, IN 46260-2006 | 2018-05-04 |
| 1679072755 | At Home Health Equipment, LLC | Durable Medical Equipment & Medical Supplies | 2432 Lake Circle Dr, Indianapolis, IN 46268-4219 | 2018-02-05 |
| 1538668843 | Aeratech Medical Inc | Durable Medical Equipment & Medical Supplies | 5355 W Minnesota St, Indianapolis, IN 46241-3817 | 2018-02-02 |
| 1871042838 | Breathe Easy Solutions LLC | Durable Medical Equipment & Medical Supplies | 502 S 3rd St, Terre Haute, IN 47807-4604 | 2016-09-30 |
| 1043683568 | Village Apothecary At Williamsburg | Durable Medical Equipment & Medical Supplies | 1609 Lafayette Rd Rm 23, Crawfordsville, IN 47933-1032 | 2015-11-05 |
| 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.