MEDHOME SPECIALTY SERVICES, LLC (NPI# 1255721080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255721080 |
| Entity Type | Organization |
| Organization Name | MEDHOME SPECIALTY SERVICES, LLC |
| Practice Address |
350 W Woodrow Wilson Ave Suite 241 Jackson MS 39213-7681 |
| Mailing Address |
148 Daughdrill Sta Flowood MS 39232-8406 |
| Practice Telephone | 6016654081 |
| Practice Fax Number | 6016654343 |
| Mailing Telephone | 6019367712 |
| Mailing Fax Number | 6019367714 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2016-03-10 |
| Authorized Official Name | MRS. STACY R CRAIN (COO) |
| Authorized Official Telephone | 6019367712 |
| Authorized Official Credential | CRT |
| Is Organization Subpart | Y |
| Parent Organization Name | WORLD HEALTH INDUSTRIES HOLDING COMPANY |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
05361/11.1 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00440898 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992713507 | Medhome Specialty Services, LLC | Durable Medical Equipment & Medical Supplies | 360 Simpson Highway 149 Ste 120, Magee, MS 39111-3846 | 2006-08-03 |
| Street Address |
350 W WOODROW WILSON AVE SUITE 241 |
| City | JACKSON |
| State | MS |
| Zip Code | 39213-7681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184607210 | Srinivasan Vijayakumar | Radiology | 350 W Woodrow Wilson Ave, Suite 16, Jackson, MS 39213-7681 | 2005-11-22 |
| 1487285268 | Andreina Guedez Mijares | Dietitian, Registered | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 2020-01-30 |
| 1114492725 | Kandis Vechelle Backus | Pharmacist | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 2018-10-10 |
| 1780104646 | Jamie Simonson Dean | Nurse Practitioner | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 2017-06-22 |
| 1730610775 | Take Care Pharmacy | Pharmacy | 350 W Woodrow Wilson Ave, Suite 311, Jackson, MS 39213-7681 | 2017-03-22 |
| 1891236725 | Christina Purviance | Nurse Practitioner | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 2017-03-11 |
| 1265983316 | Molly Sullivan | Nurse Practitioner | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 2016-10-24 |
| 1982057345 | Flora K. Green | Nurse Practitioner | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 2016-07-20 |
| 1619346822 | Shundra Wilson | Nurse Practitioner | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 2015-09-17 |
| 1336521343 | Karen Cathey | Counselor | 350 W Woodrow Wilson Ave, Suite 3572, Jackson, MS 39213-7681 | 2015-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117980 | Cynthia Bailey | Technician | 916 Carnation Street, Jackson, MS 39213 | 2019-10-30 |
| 1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
| 1275057069 | Nikita Patel | Pharmacist | 830 West Woodrow Wilson Avenue, Jackson, MS 39213 | 2017-08-02 |
| 1346782893 | Mississippi Smiles Dentistry LLC | Dentist | 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 | 2016-11-15 |
| 1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
| 1518410778 | Assurance Home Health Services, LLC | Health Maintenance Organization | 1771 Hamilton Blvd., Jackson, MS 39213 | 2016-07-25 |
| 1831576180 | Dorothy Jeffries Anderson | Counselor | 350 Woodrow Wilson Ave, Jackson, MS 39213 | 2015-05-06 |
| 1740697275 | Sincere Home Care LLC. | Chore Provider | 5911 Holmes Ct, Jackson, MS 39213 | 2014-07-16 |
| 1629401088 | Deborah Diane Wright | Assisted Living Facility | 5911 Holmes Court, Jackson, MS 39213 | 2013-08-20 |
| 1245663251 | Methodist Home Road Living Center | Licensed Practical Nurse | 4560 Methodist Home Road, Jackson, MS 39213 | 2013-08-13 |
| Find all providers in zip 39213 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
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| 1396353363 | Health Now Jackson, LLC | Durable Medical Equipment & Medical Supplies | 3802 N College Ave Ste 107, Jackson, AL 36545-2046 | 2020-07-16 |
| 1396305892 | Regional Health Services LLC | Durable Medical Equipment & Medical Supplies | 920 E Mcdowell Rd, Jackson, MS 39204-5911 | 2019-06-17 |
| 1962862516 | Oak Medical,ltd | Durable Medical Equipment & Medical Supplies | 222 Pearl St, Jackson, OH 45640-1722 | 2016-02-24 |
| 1033535323 | Professional Respiratory Services | Durable Medical Equipment & Medical Supplies | 98 N Star Dr Ste B, Jackson, TN 38305-5684 | 2014-03-11 |
| 1144550872 | Direct Health Solutions, LLC | Durable Medical Equipment & Medical Supplies | 220 E Broadway St., 2g, Jackson, WY 83001 | 2009-12-31 |
| 1669612321 | A Plus Health Care LLC | Durable Medical Equipment & Medical Supplies | 4 Sunshine Way, Jackson, NJ 08527-3179 | 2009-02-20 |
| 1295999027 | Riverside Medical Inc | Durable Medical Equipment & Medical Supplies | 19 Northstar Drive, Ste # D, Jackson, TN 38305 | 2008-07-10 |
| 1225203847 | Dickson Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 117 N Conalco Dr, Jackson, TN 38301-3663 | 2008-04-24 |
| 1316165350 | A1 Healthcare | Durable Medical Equipment & Medical Supplies | 2570 Bailey Ave, Suite 1, Jackson, MS 39213-6905 | 2007-04-23 |
| 1609927250 | Friendly Home Health Equipment LLC | Durable Medical Equipment & Medical Supplies | 1421 E Michigan Ave, Jackson, MI 49202-3580 | 2007-01-12 |
| Find all providers in JACKSON | ||||
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| 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.