ERNIES HOUSE


Address: 4321 Martha Ln, Fort Worth, TX 76103-2705
Phone: 8173863923

ERNIES HOUSE (NPI# 1609029800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609029800
Entity Type Organization
Organization Name ERNIES HOUSE
Other Organization Name ERNIES MEDICAL SUPPLY
Practice Address 4321 Martha Ln
Fort Worth
TX 76103-2705
Practice Telephone 8173863923
Practice Fax Number 8173863923
Mailing Telephone 8173863923
Mailing Fax Number 8173863923
Enumeration Date 2008-10-31
Last Update Date 2008-10-31
Authorized Official Name MR. ERNEST PERCY MIMS JR. (OWNER OPERATOR)
Authorized Official Telephone 8173863923
Authorized Official Credential DME
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332BX2000X Durable Medical Equipment & Medical Supplies
Specialization: Oxygen Equipment & Supplies
Suppliers
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
Suppliers

Other Provider/Organization Names

Other Name Type Code
Ernies Medical Supply Doing Business As Name - Organization

Office Location

Street Address 4321 MARTHA LN
City FORT WORTH
State TX
Zip Code 76103-2705

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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

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1902118730 Monarch Medical & Rehab Supply Inc Durable Medical Equipment & Medical Supplies 5650 Kroger Dr, Suite 100, Fort Worth, TX 76244-5684 2010-07-09
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Competitor

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City FORT WORTH
Zip Code 76103

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Dataset Information

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.

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