ALPINE HOME MEDICAL EQUIPMENT, LLC – Oxygen Equipment & Supplies (DME), NPI 1003458365

ALPINE HOME MEDICAL EQUIPMENT, LLC is a healthcare provider. based in Vernal, Utah. specializing in Oxygen Equipment & Supplies (DME). The NPI Number for ALPINE HOME MEDICAL EQUIPMENT, LLC is 1003458365

Main info

Organization
Name
ALPINE HOME MEDICAL EQUIPMENT, LLC
NPI
1003458365
Phone
(435) 781-6594
Address
753 W HIGHWAY 40
Authorized Official
JAY BROADBENT OWNER
Enumeration Date
8 October 2019
Last Update Date
8 October 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:6State licenses:0Digital endpointsOther names

Provider Addresses for ALPINE HOME MEDICAL EQUIPMENT, LLC

  • 753 W HIGHWAY 40

    VERNAL, UT 840782427

    Phone: (435) 781-6594

    Fax: (435) 781-6595

    Type: Location

  • 13065 South, Draper Old Farm, Draper, Salt Lake County, Utah, 84020, United States

    DRAPER, UT 840205646

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20230602002390OMedical Supply Company With Respiratory TherapistUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84078)

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Reviews

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Frequently asked questions

How do payers reference ALPINE HOME MEDICAL EQUIPMENT, LLC?
For ALPINE HOME MEDICAL EQUIPMENT, LLC, use NPI 1003458365 as the unique 10-digit identifier.
Active or inactive — what applies to ALPINE HOME MEDICAL EQUIPMENT, LLC?
You should see ALPINE HOME MEDICAL EQUIPMENT, LLC as active in CMS-hosted NPPES data.
What area of care is associated with ALPINE HOME MEDICAL EQUIPMENT, LLC?
ALPINE HOME MEDICAL EQUIPMENT, LLC's record emphasizes Oxygen Equipment & Supplies (DME). Clinical services aligned with this taxonomy classification.
Where in Utah is ALPINE HOME MEDICAL EQUIPMENT, LLC registered?
Use Vernal, Utah as the headline location for ALPINE HOME MEDICAL EQUIPMENT, LLC here.
When was this NPI issued?
Enumeration for ALPINE HOME MEDICAL EQUIPMENT, LLC is noted as October 8, 2019 where the registry provides it.

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