CLAY HOME MEDICAL INC (NPI# 1497754568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497754568 |
| Entity Type | Organization |
| Organization Name | CLAY HOME MEDICAL INC |
| Other Organization Name | CLAY HOME MEDICAL |
| Practice Address |
3333 S Crater Rd Ste 5 Petersburg VA 23805 |
| Mailing Address |
3325 Bartlett Blvd Orlando FL 32811-6428 |
| Practice Telephone | 8048611606 |
| Practice Fax Number | 8048621254 |
| Mailing Telephone | 4072060040 |
| Mailing Fax Number | 4072060010 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2020-06-08 |
| Authorized Official Name | MR. STEPHEN GRIGGS (CEO) |
| Authorized Official Telephone | 4072060040 |
| Is Organization Subpart | Y |
| Parent Organization Name | AEROCARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | DME PROVIDER | ANTHEM BC/BS | 01 |
| VA | 009103341 | 05 |
| Other Name | Type Code |
|---|---|
| Clay Home Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124027222 | Clay Home Medical Inc | Durable Medical Equipment & Medical Supplies | 175 Commerce Park Rd, Franklin, VA 23851 | 2005-07-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | CLAY HOME MEDICAL INC. | 175 Commerce Park Road, Franklin, Virginia 23851 |
| Street Address |
3333 S CRATER RD STE 5 |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447609979 | Sunny Acres | Durable Medical Equipment & Medical Supplies | 19130 Sunny Acres Rd, Petersburg, IL 62675-7306 | 2016-06-06 |
| 1619952363 | Hls Pharmacies Inc. | Durable Medical Equipment & Medical Supplies | 901 E Main St, Petersburg, IN 47567-1354 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1932738036 | Roberts Home Medical LLC | Durable Medical Equipment & Medical Supplies | 210 Fort Collier Rd Ste 1and2, Winchester, VA 22603-5738 | 2020-04-02 |
| 1619502853 | Tactical Rehabilitation Inc | Durable Medical Equipment & Medical Supplies | 231 Potomac Ave, Quantico, VA 22134-3458 | 2020-03-09 |
| 1316587041 | Mms Norfolk, Inc. | Durable Medical Equipment & Medical Supplies | 11828 Canon Blvd Ste C, Newport News, VA 23606-2554 | 2020-01-10 |
| 1427698158 | Mms Norfolk, Inc. | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 113, Chesapeake, VA 23320-2887 | 2020-01-10 |
| 1093363251 | 1st Choice In-homecare, Inc. | Durable Medical Equipment & Medical Supplies | 161-a John Jefferson Road Ste 101, Williamsburg, VA 23185 | 2019-08-30 |
| 1386292860 | 1st Choice In-homecare, Inc. | Durable Medical Equipment & Medical Supplies | 1035 Champions Way Ste 200, Suffolk, VA 23435-3762 | 2019-08-28 |
| 1639668791 | Airway Breathing Co | Durable Medical Equipment & Medical Supplies | 1117 Old Colony Ln Ste B, Williamsburg, VA 23185-3801 | 2018-05-04 |
| 1508362757 | Robert Mcclatchey | Durable Medical Equipment & Medical Supplies | 17865 Main St Ste B, Dumfries, VA 22026-2411 | 2018-04-04 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
Please comment or provide details below to improve the information on CLAY HOME MEDICAL INC.
| 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.