AT HOME MEDICAL SUPPLY OF TN LLC NPI 1649276270

NPI Information

NPI: 1649276270
Provider Name: AT HOME MEDICAL SUPPLY OF TN LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
86 E NORTHSTAR DR
SUITE E
JACKSON, TN
ZIP 38305
Phone: (731) 512-1895
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AT HOME MEDICAL SUPPLY OF TN LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Jackson, TN. AT HOME MEDICAL SUPPLY OF TN LLC NPI is 1649276270. The provider is registered as an organization entity type.

The provider's business location address is:

86 E NORTHSTAR DR
SUITE E
JACKSON, TN
ZIP 38305
Phone: (731) 512-1895
Fax: (731) 512-1896

The provider's authorized official is Marsha Mcnair .
The authorized official title is Cfo and has the following contact phone number (901) 452-2395.

The enumeration date for this NPI number is 6/28/2005 and was last updated on 11/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	0000000824	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0952430001	MEDICARE NSC	TENNESSEE
2	4080747	OTHER	TENNESSEE	BLUE CROSS & BLUE SHIELD
3	1452412	MEDICAID	TENNESSEE
4	4080747	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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