AT HOME MEDICAL SUPPLY (NPI# 1528146461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528146461 |
| Entity Type | Organization |
| Organization Name | AT HOME MEDICAL SUPPLY |
| Practice Address |
1152 Gilmore Ave Winona MN 55987-2404 |
| Practice Telephone | 5074539300 |
| Mailing Telephone | 5074539300 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LYNDA KRALL (OWNER) |
| Authorized Official Telephone | 5074539300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 2324445 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HEALTH PARTNERS | 63375 | 01 |
| MN | WISCONSIN MEDICAID | 41693800 | 01 |
| MN | BCBS | 6G749AT | 01 |
| MN | CLEAR CONNECT | 105861 | 01 |
| MN | PREFFERED ONE | 723336 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164877379 | At Home Medical Supply | Durable Medical Equipment & Medical Supplies | 306 Church St, Port Gibson, MS 39150-2108 | 2016-04-26 |
| 1982176996 | At Home Medical Supply | Durable Medical Equipment & Medical Supplies | 4040 W 71st St, Indianapolis, IN 46268-5722 | 2019-01-02 |
| Street Address |
1152 GILMORE AVE |
| City | WINONA |
| State | MN |
| Zip Code | 55987-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730363631 | Krall Medical LLC | Durable Medical Equipment & Medical Supplies | 1152 Gilmore Ave, Winona, MN 55987-2404 | 2007-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891277232 | Jamie Sanders | Social Worker | 51 East 4th St Suite 307, Winona, MN 55987 | 2018-09-01 |
| 1841727823 | Stacey A Czaplewski | Specialist/Technologist | 175 West Mark Street, Winona State University-139 Memorial Hall, Winona, MN 55987 | 2017-05-22 |
| 1083145361 | Kevin Lee Knack | Counselor | 902 E. Second St. Suite 326, Acumen Counseling, Winona, MN 55987 | 2017-03-27 |
| 1467993865 | Melissa Lee Peterson | Specialist/Technologist | 23559 Co. Rd. 20, Winona, MN 55987 | 2017-03-17 |
| 1790226280 | Nikolas Porter Lyon | Specialist/Technologist | 634 Franklin St, East Lake B 306-4, Winona, MN 55987 | 2017-03-16 |
| 1821424953 | Sara Beth Borchardt | Chiropractor | 1423 West Service Drive, Winona, MN 55987 | 2013-09-20 |
| 1952614273 | Kristin Janelle Noble | Chiropractor | 117 W. 3rd St., Winona, MN 55987 | 2010-07-15 |
| 1033435615 | Christine E. Clark | Pharmacist | 1122 Hwy 61, Winona, MN 55987 | 2010-04-08 |
| 1346401544 | Andrew Dean Mork | Dentist | 50 W Second Street, Winona, MN 55987 | 2008-06-19 |
| 1508073693 | Lawrence J Green | Psychologist | 61 W 4th St, Winona, MN 55987 | 2007-05-17 |
| Find all providers in zip 55987 | ||||
| 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 |
|---|---|---|---|---|
| 1548569676 | Easy Feet LLC | Durable Medical Equipment & Medical Supplies | 121 N Front St, Winona, MS 38967-2239 | 2011-03-15 |
| 1508045261 | Avatar Enterprises | Durable Medical Equipment & Medical Supplies | 1680 Wilkie Dr, Winona, MN 55987-6202 | 2007-10-30 |
| 1598842262 | Robeson Family Vision Center | Durable Medical Equipment & Medical Supplies | 1350 Highway 43, Winona, MN 55987-5017 | 2006-11-01 |
| 1578666517 | Lexis Medicine Inc | Durable Medical Equipment & Medical Supplies | 8499 Ash St, Winona, MO 65588 | 2006-09-06 |
| 1336256858 | Kilmichael Medical Suppliers Inc | Durable Medical Equipment & Medical Supplies | 107 N Front Street, Winona, MS 38967 | 2006-08-23 |
| 1295740421 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 750 Mankato Ave, Winona, MN 55987-4829 | 2006-07-29 |
| 1083631485 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 955 Frontenac Dr, Winona, MN 55987-6522 | 2006-07-16 |
| 1265469530 | Winona Health Services | Durable Medical Equipment & Medical Supplies | 930 Parks Ave, Winona, MN 55987-5325 | 2006-06-26 |
| 1740216902 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 1475 W Service Dr, Winona, MN 55987-2512 | 2006-06-22 |
| 1588604342 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 111 E Riverfront St, Winona, MN 55987-3456 | 2006-06-08 |
| Find all providers in WINONA | ||||
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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.