AT HOME MEDICAL SUPPLY (NPI# 1164877379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164877379 |
| Entity Type | Organization |
| Organization Name | AT HOME MEDICAL SUPPLY |
| Practice Address |
306 Church St Port Gibson MS 39150-2108 |
| Mailing Address |
5015 I 55 N Ste B Jackson MS 39206-4306 |
| Practice Telephone | 6014373524 |
| Mailing Telephone | 6013623019 |
| Mailing Fax Number | 6013620405 |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |
| Authorized Official Name | JEANETTE FELTON (CEO) |
| Authorized Official Telephone | 6014373524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528146461 | At Home Medical Supply | Durable Medical Equipment & Medical Supplies | 1152 Gilmore Ave, Winona, MN 55987-2404 | 2006-11-01 |
| 1982176996 | At Home Medical Supply | Durable Medical Equipment & Medical Supplies | 4040 W 71st St, Indianapolis, IN 46268-5722 | 2019-01-02 |
| Street Address |
306 CHURCH ST |
| City | PORT GIBSON |
| State | MS |
| Zip Code | 39150-2108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760040547 | Tara Banks | Social Worker | 306 Church St, Port Gibson, MS 39150-2108 | 2019-06-05 |
| 1104393255 | Akeri Watts | Counselor | 306 Church St, Port Gibson, MS 39150-2108 | 2018-10-26 |
| 1659888998 | At Home Care Community Outreach Inc. | Clinic/Center | 306 Church St, Port Gibson, MS 39150-2108 | 2018-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326113135 | Eli George Ellis Jr. | Dentist | 911 Market St, Port Gibson, MS 39150 | 2006-11-21 |
| 1528032406 | David Mccaa Headley | Family Medicine | 405 Market St, Port Gibson, MS 39150 | 2006-02-15 |
| 1144500091 | Latoya Denise Colenberg Eakins | Dentist | 2045 Highway 61 N, Port Gibson, MS 39150 | 2011-08-24 |
| 1982914628 | Delarious Oneal Stewart | Counselor | 404 Market St, Port Gibson, MS 39150 | 2010-10-15 |
| 1104904457 | Claiborne County Hospital | Medicare Defined Swing Bed Unit | 123 Mccomb Avenue, Port Gibson, MS 39150-1004 | 2006-11-02 |
| 1073176749 | Ginetta Felton Anderson | Nurse Practitioner | 405 Market St, Port Gibson, MS 39150-2024 | 2019-04-18 |
| 1265753172 | Jennifer Leigh Greer | Nurse Practitioner | 405 Market St, Port Gibson, MS 39150-2024 | 2010-06-15 |
| 1578627782 | David M. Headley, M.d. Pa | Family Medicine | 405 Market St, Port Gibson, MS 39150-2024 | 2006-12-21 |
| 1427296748 | Claiborne County School District | Local Education Agency (LEA) | 404 Market St, Port Gibson, MS 39150-2025 | 2009-01-23 |
| 1235394966 | Claiborne County Family Health Center, Inc. | Clinic/Center | 880 Anthony St, 2045 Highway 61 North, Port Gibson, MS 39150-2050 | 2008-07-22 |
| Find all providers in zip 39150 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053754267 | Polks Crossgates Discount Drugs Inc | Durable Medical Equipment & Medical Supplies | 310 Church St, Port Gibson, MS 39150-2108 | 2013-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799982 | The Medical Store, Inc. | Durable Medical Equipment & Medical Supplies | 210 Canal Pl, Philadelphia, MS 39350-8909 | 2020-08-03 |
| 1720605215 | M&s Medical | Durable Medical Equipment & Medical Supplies | 181 Highway 334, Oxford, MS 38655-9402 | 2020-06-30 |
| 1972126407 | Reliant Home Medical Supplies and Equipment LLC | Durable Medical Equipment & Medical Supplies | 134 E Commerce St, Aberdeen, MS 39730-2710 | 2020-05-19 |
| 1124648860 | Orthospine Dme, LLC | Durable Medical Equipment & Medical Supplies | 5315 Old Highway 11 Ste 4, Hattiesburg, MS 39402-6224 | 2020-04-23 |
| 1891325015 | Joseph Anthony Coursey | Durable Medical Equipment & Medical Supplies | 2111 28th St Ste C1, Gulfport, MS 39501-4934 | 2020-01-16 |
| 1831732593 | Teketra Evans | Durable Medical Equipment & Medical Supplies | 39 E Zion Rd, Wiggins, MS 39577-5000 | 2019-10-24 |
| 1619535515 | Magnolia Drugs Inc | Durable Medical Equipment & Medical Supplies | 1757 Highway 178 West, Suite B, Myrtle, MS 38650 | 2019-06-05 |
| 1952864266 | Roy C Patton | Durable Medical Equipment & Medical Supplies | 305 Clinton Blvd, Clinton, MS 39056-5217 | 2019-04-12 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1881150324 | Coastal Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 3417 Hardy St, Hattiesburg, MS 39402-1502 | 2019-02-20 |
| Find all providers with the same taxonomy | ||||
| City | PORT GIBSON |
| Zip Code | 39150 |
Please comment or provide details below to improve the information on AT HOME MEDICAL SUPPLY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.