CLAY HOME MEDICAL – NPI #1497754568
Durable Medical Equipment & Medical Supplies

CLAY HOME MEDICAL is a DME supplier located in PETERSBURG, VA. NPPES has assigned the NPI number 1497754568 to CLAY HOME MEDICAL on July 20, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLAY HOME MEDICAL” is a dba name, the actual legal business name for this organization is CLAY HOME MEDICAL INC. The primary taxonomy selected by this provider is 332BX2000X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies

The NPI profile was previously updated about 6 years ago on Jun 08, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLAY HOME MEDICAL below.

NPI Profile for
CLAY HOME MEDICAL INC

NPI Number
1497754568
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLAY HOME MEDICAL INC
Doing Business As (dba): CLAY HOME MEDICAL
Primary location
3333 S CRATER RD STE 5
PETERSBURG, VA 23805
Phone: (804) 861-1606 Fax: (804) 862-1254
Mailing address
3325 BARTLETT BLVD
ORLANDO, FL 32811-6428
Phone: (407) 206-0040 Fax: (407) 206-0010
Organization Subpart
Yes - CLAY HOME MEDICAL is subpart of another organization.
Authorized Official
STEPHEN GRIGGS
CEO
Phone: (407) 206-0040
Updated
Certification Date
Jun 08, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CLAY HOME MEDICAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDME PROVIDERVAANTHEM BC/BS
MEDICAIDVA009103341
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
332BX2000X
- Durable Medical Equipment & Medical Supplies / Oxygen Equipment & Supplies (Primary)
VA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.