1699949438 NPI number — HOME MEDICAL CARE, INC.

Table of content: (NPI 1699949438)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699949438 NPI number — HOME MEDICAL CARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOME MEDICAL CARE, 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:
HEALTH N HOME
Provider Other Organization Name Type Code:
3
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:
1699949438
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/14/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
113 W MAIN ST
Provider Second Line Business Mailing Address:
PO BOX 440
Provider Business Mailing Address City Name:
WAVERLY
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37185-1508
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
931-296-5000
Provider Business Mailing Address Fax Number:
931-296-5942

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
304 HIGHLAND BLVD
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
NATCHEZ
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39120-4624
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
601-442-6493
Provider Business Practice Location Address Fax Number:
601-445-0999
Provider Enumeration Date:
04/14/2008

Additional Information

Authorized Official

Authorized Official Last Name:
ARNOLD
Authorized Official First Name:
KRISTIE
Authorized Official Middle Name:
SMITH
Authorized Official Title or Position:
REIMBURSEMENT MANAGER
Authorized Official Telephone Number:
931-296-5000

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , with the licence number:  04010/11.1 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332BX2000X , 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: 00040317 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".




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