FAMILY HOME MEDICAL EQUIPMENT, LLC (NPI# 1487104774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487104774 |
| Entity Type | Organization |
| Organization Name | FAMILY HOME MEDICAL EQUIPMENT, LLC |
| Other Organization Name | THE CPAP STORE |
| Practice Address |
1701 Boulevard Sq Ste C Waycross GA 31501-8022 |
| Practice Telephone | 9125906546 |
| Practice Fax Number | 9125906550 |
| Mailing Telephone | 9125906546 |
| Mailing Fax Number | 9125906550 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | MILTON ALBERT THOMAS JR. (OWNER, PRESIDENT) |
| Authorized Official Telephone | 9122816823 |
| Authorized Official Credential | RRT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003191517A | 05 |
| Other Name | Type Code |
|---|---|
| The CPAP Store | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306483003 | Family Home Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 2601 Parkwood Dr Ste D, Brunswick, GA 31520-4724 | 2019-12-02 |
| 1750994034 | Family Home Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1214 Peterson Ave N Ste P, Douglas, GA 31533-2835 | 2020-08-26 |
| Street Address |
1701 BOULEVARD SQ STE C |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31501-8022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962906115 | Davenport Health Pa | Family Medicine | 1401 Cherokee Drive, Waycross, GA 31501 | 2018-03-22 |
| 1962940478 | Blake Darren Aldridge | Physical Therapy Assistant | 401 Preston Street, Waycross, GA 31501 | 2017-02-03 |
| 1669922142 | Jebediah S. Christy Dds - Waycross Pllc | Dentist | 2271 Memorial Dr, Waycross, GA 31501 | 2016-10-10 |
| 1558721944 | Jana Kirby | Massage Therapist | 1599 Knight Ave., Kallman Chiropractic Center, Waycross, GA 31501 | 2016-02-29 |
| 1962877001 | Courtney Baldwin | Specialist/Technologist, Other | 2403 Spurgeon St, Waycross, GA 31501 | 2015-12-01 |
| 1912389784 | Grayson Stuart Griffis | Dentist | 2103 Tebeau St., Waycross, GA 31501 | 2015-06-29 |
| 1730561267 | Trishla Amit Desai | Internal Medicine | Memorial Satilla Health, 1900 Tebeau Street, Waycross, GA 31501 | 2015-06-20 |
| 1316330913 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 512 City Blvd Ste H, Waycross, GA 31501 | 2015-03-06 |
| 1942699079 | Jose Ramon Martinez | Anesthesiology | 701 City Blvd, Waycross, GA 31501 | 2015-01-13 |
| 1023356714 | Orthopedics Surgeons of Georgia, LLC | Orthopaedic Surgery | 2015 Alice Street, Waycross, GA 31501 | 2013-01-30 |
| Find all providers in zip 31501 | ||||
| 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 |
|---|---|---|---|---|
| 1770965634 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1630 Plant Ave, Waycross, GA 31501-5247 | 2015-06-26 |
| 1699095869 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1800 Brunswick Hwy, Waycross, GA 31501-1061 | 2010-06-10 |
| 1518035781 | Genesis Dme, Inc | Durable Medical Equipment & Medical Supplies | 2501 Plant Ave, Waycross, GA 31501-6046 | 2006-12-04 |
| 1932272770 | The Medicine Cabinet of Waycross, LLC. | Durable Medical Equipment & Medical Supplies | 2607 Plant Ave, Waycross, GA 31501-6062 | 2006-11-17 |
| 1851490023 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 1803 Knight Avenue, Waycross, GA 31501-8018 | 2006-09-22 |
| 1295837961 | Medical Mobility Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 1200 E Blackshear Ave, Suite D, Waycross, GA 31501-6978 | 2006-09-02 |
| 1437268968 | Rite Aid of Georgia Inc | Durable Medical Equipment & Medical Supplies | 701 Riverside Avenue, Suite B, Waycross, GA 31501-5335 | 2006-08-29 |
| 1659489029 | J H Harvey Co LLC | Durable Medical Equipment & Medical Supplies | 1312 Plant Ave, Waycross, GA 31501-3537 | 2006-08-27 |
| 1902830748 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1606 Memorial Dr, Waycross, GA 31501-1949 | 2006-07-10 |
| 1235121187 | Shuman Healthcare Specialty Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 2011 Tebeau St, Waycross, GA 31501-6358 | 2005-08-17 |
| Find all providers in WAYCROSS | ||||
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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.