Organization
DME LLC
Active
Other names
Happy Feet
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY ROBERTS (OWNER/PRESIDENT)
(270) 688-5888
Entity
Organization
Contact information
Practice address
510 E PARRISH AVE, OWENSBORO, KY 42303-3125
(270) 688-5888
(270) 688-8238
Mailing address
510 E PARRISH AVE, OWENSBORO, KY 42303-3125
(270) 688-5888
(270) 688-8238
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000313763
BC/BS
KY
05
—
200443980A
—
IN
01
—
2444604000
PASSPORT ADVANTAGE
KY
01
—
50002827
PASSPORT HEALTH PLAN
KY
05
—
90006529
—
KY
Enumeration date
04/03/2006
Last updated
06/03/2026
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