1497810048 NPI number — A&A HOME HEALTH EQUIPMENT, INC.

Table of content: (NPI 1497810048)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497810048 NPI number — A&A HOME HEALTH EQUIPMENT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A&A HOME HEALTH EQUIPMENT, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497810048
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/26/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3080 E REED RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENVILLE
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
38703-9410
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
662-332-5656
Provider Business Mailing Address Fax Number:
662-612-4399

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1403 S GREEN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TUPELO
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
38804-6309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-844-8545
Provider Business Practice Location Address Fax Number:
662-634-4156
Provider Enumeration Date:
12/26/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
STOKES
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
TRUMAN
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
662-332-5656

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  01803 11.1 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332BC3200X , with the licence number: 01803 11.1 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BP3500X , with the licence number: 01803 11.1 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X , with the licence number: 01803 11.1 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 226628 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00040995 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".