Blaze Valley Home Medical

LBN: Blaze Valley Corporation
Blaze Valley Home Medical is an health care organization with primary practice located at 974 Piney Grove Rd , Somerset KY 42501-5476. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Blaze Valley Corporation can be contacted via phone (606) 274-0156, or through Jayme-Martin, Maria L via phone (606) 274-0156.

Contact Information

Primary practice address
974 Piney Grove Rd Somerset KY 42501-5476
Phone: (606) 274-0156
Fax: (606) 274-0234
Website:
Map and Directions
Authorized official contact:
Name: Jayme-Martin, Maria L
Phone: (606) 274-0156

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X HME00706 Kentucky

Profile Details

NPI number 1669761391
LBN Legal business name Blaze Valley Corporation
DBA Doing business as Blaze Valley Home Medical
Authorized official Jayme-Martin, Maria L
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2011
Last updated Jan 31st, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669761391 NPPES
Kentucky MEDICAID 7100170560

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