CENTENNIAL MEDICAL EQUIPMENT INC (NPI# 1669491270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669491270 |
| Entity Type | Organization |
| Organization Name | CENTENNIAL MEDICAL EQUIPMENT INC |
| Other Organization Name | QUEST HEALTH CARE |
| Practice Address |
411 W Walnut St Gardena CA 90248-3136 |
| Mailing Address |
Po Box 27968 Salt Lake City UT 84127-0968 |
| Practice Telephone | 3105326065 |
| Practice Fax Number | 3105326799 |
| Mailing Telephone | 5709668030 |
| Mailing Fax Number | 5709668040 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-03-20 |
| 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 |
|---|---|---|---|
| CA | DME03348F | 05 |
| Other Name | Type Code |
|---|---|
| QUEST HEALTH CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306816863 | Centennial Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 4284 West 7th Ave, Unit D, Eugene, OR 97402-5434 | 2006-01-25 |
| 1831169317 | Centennial Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 10150 Sw Nimbus Ave, Suite E6 & E7, Portland, OR 97223-4337 | 2006-01-25 |
| 1407826365 | Centennial Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2799 Del Monte St, Suite A, W Sacramento, CA 95691-3811 | 2006-01-24 |
| 1083684021 | Centennial Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 540 E. Vilas Road, Suite F, Central Point, OR 97502 | 2006-01-24 |
| 1972573897 | Centennial Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 4138-4140 148th Ave Ne, Redmond, WA 98052 | 2006-01-24 |
| 1982684213 | Centennial Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 3181 Cleveland Ave, Suite F, Santa Rosa, CA 95403 | 2006-01-20 |
| 1992785224 | Centennial Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 888 N Fair Oaks Ave, Pasadena, CA 91103-3046 | 2006-01-20 |
| 1558341875 | Centennial Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 4233 W Sierra Madre Ave, Suite 210, Fresno, CA 93722-3955 | 2006-01-20 |
| 1194705707 | Centennial Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1000 Sw 7th St, Suite F, Renton, WA 98057-5216 | 2006-01-19 |
| Street Address |
411 W WALNUT ST |
| City | GARDENA |
| State | CA |
| Zip Code | 90248-3136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| 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 |
|---|---|---|---|---|
| 1932496163 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 1399 W Artesia Blvd, Gardena, CA 90248-3363 | 2011-07-08 |
| 1306150354 | Blessing Medical Supply | Durable Medical Equipment & Medical Supplies | 17901 S Vermont Ave, Suite D, Gardena, CA 90248-3402 | 2010-08-02 |
| 1396973871 | A.k. Direct Medical Supplies | Durable Medical Equipment & Medical Supplies | 14121 S Western Ave, Gardena, CA 90249-3009 | 2009-06-23 |
| 1245471366 | Western Medical Supply Services Inc. | Durable Medical Equipment & Medical Supplies | 14803 S Western Ave, Gardena, CA 90249-3309 | 2009-03-19 |
| 1831362623 | Vapor Medical Distributors Inc. | Durable Medical Equipment & Medical Supplies | 2411 Marine Ave, Gardena, CA 90249-3726 | 2008-04-11 |
| 1912170705 | Bloom Medical Equipment & Supply | Durable Medical Equipment & Medical Supplies | 14909 Crenshaw Blvd Ste 109, Gardena, CA 90249-3663 | 2008-04-11 |
| 1598938995 | Bolademi Adetola | Durable Medical Equipment & Medical Supplies | 14612 Crenshaw Blvd, Gardena, CA 90249-3147 | 2008-04-07 |
| 1487838231 | Rexam Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 15225 S Western Ave, Suite 101, Gardena, CA 90249-4327 | 2007-12-27 |
| 1942480751 | Stealth Medical Soultions Inc. | Durable Medical Equipment & Medical Supplies | 1908 W Redondo Beach Blvd, Gardena, CA 90247-3624 | 2007-11-08 |
| 1821208943 | Bernard S Gibeson | Durable Medical Equipment & Medical Supplies | 1900 W Redondo Beach Blvd, Gardena, CA 90247-3624 | 2007-05-23 |
| Find all providers in GARDENA | ||||
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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.