Mountaineer Home Medical, LLC is a Durable Medical Equipment & Medical Supplies (organization) practicing in Princeton, West Virginia. The National Provider Identifier (NPI) is #1912862590, which was assigned on December 17, 2025, and the registration record was last updated on December 17, 2025. The practitioner's main practice location is at 1411 Honaker Ave, Princeton, WV 24740-3047; the contact telephone number is 8882401030, and the fax number is 3042251115. The primary taxonomy of Mountaineer Home Medical, LLC is Durable Medical Equipment & Medical Supplies (332B00000X). The authorized official for Mountaineer Home Medical, LLC is Michelle Jackson (Collections Manager).
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 | 1912862590 |
| Entity Type | Organization |
| Organization Name | MOUNTAINEER HOME MEDICAL, LLC |
| Provider Name | MOUNTAINEER HOME MEDICAL, LLC |
| Practice Address |
1411 Honaker Ave Princeton WV 24740-3047 |
| Practice Telephone | 8882401030 |
| Practice Fax Number | 3042251115 |
| Mailing Address |
1411 Honaker Ave Princeton WV 24740-3047 |
| Mailing Telephone | 8882401030 |
| Mailing Fax Number | 3042251115 |
| Certification Date | 2025-12-17 |
| Enumeration Date | 2025-12-17 |
| Last Update Date | 2025-12-17 |
| Is Organization Subpart | Y |
| Parent Organization Legal Business Name | MOUNTAINEER HOME MEDICAL, LLC |
| Official Name | MICHELLE JACKSON |
| Official Title | COLLECTIONS MANAGER |
| Telephone | 3042256290 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 332BX2000X | Durable Medical Equipment & Medical Supplies | Oxygen Equipment & Supplies | |||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Mountaineer Home Medical, LLC | 220 N Kanawha St Ste 3, Beckley, WV 25801-4745 | Oxygen Equipment & Supplies (DME) | 2024-06-07 |
| Mountaineer Home Medical, LLC | 4039 Caratoke Hwy, Barco, NC 27917-9520 | Durable Medical Equipment & Medical Supplies | 2024-01-31 |
| Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| Classification | Durable Medical Equipment & Medical Supplies |
| Grouping | Suppliers |
| Definition: 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. |
| Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Grouping | Suppliers |
| Definition: Definition to come... |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Star Living Services Usa LLC | 77 Williamson Rd, Bergenfield, NJ 07621-1115 | Durable Medical Equipment & Medical Supplies | 2026-02-06 |
| Reliable Respiratory, Inc. | 10 Ferry St Ste 311, Concord, NH 03301-5081 | Durable Medical Equipment & Medical Supplies | 2026-02-06 |
| Primecare Supplies & Services LLC | 14671 Mallory Dr, Fontana, CA 92335-7228 | Durable Medical Equipment & Medical Supplies | 2026-02-06 |
| Reliable Respiratory, Inc. | 1221 Main St Ste 203b, Weymouth, MA 02190-1563 | Durable Medical Equipment & Medical Supplies | 2026-02-06 |
| Careease Dme LLC | 162 Green Acres Rd, Valley Stream, NY 11581-1506 | Durable Medical Equipment & Medical Supplies | 2026-02-07 |
| Healer Medical Equipment & Supplies Inc | 835 Ocean Ave Apt 4k, Brooklyn, NY 11226-5981 | Durable Medical Equipment & Medical Supplies | 2026-02-06 |
| Cognifisense, Inc | 1271 Lakeside Dr, Sunnyvale, CA 94085-1055 | Durable Medical Equipment & Medical Supplies | 2026-02-06 |
| Nucleus Digital LLC | 8019 Desert Meadow Dr, Richmond, TX 77406-7881 | Durable Medical Equipment & Medical Supplies | 2026-02-06 |
| Slc Medical Supplies LLC | 1278 S Prospect St, Salt Lake City, UT 84104-4129 | Durable Medical Equipment & Medical Supplies | 2026-02-06 |
| Reliable Respiratory, Inc. | 354 Merrimack St Ste 311, Lawrence, MA 01843-1755 | Durable Medical Equipment & Medical Supplies | 2026-02-06 |
| Find all providers with the same taxonomy | |||
| Street Address |
1411 HONAKER AVE |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740-3047 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Yung Hie Koh | 100 New Hope Road, Princeton, WV 24740 | Family Medicine Physician | 2006-09-19 |
| Catherine Matherly | 207 East Dr, Princeton, WV 24740-2022 | Home Health Aide | 2025-05-19 |
| Ileta Combs | 600 Trent Street, Princeton, WV 24740 | Personal Care Attendant | 2025-07-29 |
| Trista Jenkins | 1008 Hinton St, Princeton, WV 24740-2206 | Home Health Aide | 2025-10-06 |
| Meredith L Day · Meredith L White | 520 Hillcrest Dr, Princeton, WV 24740-2092 | Case Manager/Care Coordinator | 2025-08-07 |
| Prasad Polisetty Md PLLC | 120 12th St, Princeton, WV 24740 | Rehabilitation Hospital | 2022-10-05 |
| Kishor S Pathak | 200 New Hope Rd, Quail Valley Medical Center No 7, Princeton, WV 24740-2155 | Diagnostic Radiology Physician | 2005-07-19 |
| Melissa Hager | 305 East Dr, Princeton, WV 24740-2023 | Home Health Aide | 2025-06-09 |
| Vivian Elaine Palmer | 310 Doewood Dr, Princeton, WV 24740-1167 | Home Health Aide | 2025-06-26 |
| New Horizons Psychological Associates PLLC | 105 Gott Road, Princeton, WV 24740-2103 | Addiction (Substance Use Disorder) Counselor | 2007-05-22 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Mountaineer Behavioral Health | 3094 Charles Town Road, Kearneysville, WV 25430 | Substance Use Disorder Rehabilitation Clinic/Center | 2016-10-24 |
| Mountaineer Homecare, LLC | 417 Grand Park Dr Ste 203, Parkersburg, WV 26105-4049 | Home Health Agency | 2025-08-01 |
| Mountaineer Family Medicine Inc | 511 Blue Prince Rd, Bluefield, WV 24701-9808 | Family Medicine Physician | 2025-05-08 |
| Mountaineer Physical Therapy & Sports Medicine | 207 Merchants Walk, Summersville, WV 26651 | Physical Therapist | 2006-01-10 |
| Mountaineer Home Care Services LLC | 27 Midway Loop, Elkins, WV 26241-1373 | Personal Care Attendant | 2025-12-12 |
| Mountaineer Homecare, LLC | 21 E Main St Ste 302, Buckhannon, WV 26201-2910 | Home Health Agency | 2025-08-08 |
| Mountaineer Orthodontics, PLLC | 918 Chestnut Ridge Prof. Bldg., Suite #5, Morgantown, WV 26505-2822 | Orthodontics and Dentofacial Orthopedic Dentist | 2007-04-27 |
| Mountaineer Mental Health, LLC | 285 W Birch Ln, Romney, WV 26757-1610 | Professional Counselor | 2017-10-05 |
| Mountaineer Psychological Services, PLLC | 100 Corporate Dr, Morgantown, WV 26501-4580 | Mental Health Counselor | 2014-11-17 |
| Quality Home Medical Inc. | 130 Rogers Commerce Blvd, Boiling Springs, SC 29316-6144 | Oxygen Equipment & Supplies (DME) | 2005-07-07 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |