AT HOME MEDICAL SUPPLY OF TN LLC (NPI# 1649276270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649276270 |
| Entity Type | Organization |
| Organization Name | AT HOME MEDICAL SUPPLY OF TN LLC |
| Practice Address |
86 E Northstar Dr Suite E Jackson TN 38305 |
| Practice Telephone | 7315121895 |
| Practice Fax Number | 7315121896 |
| Mailing Telephone | 7315121895 |
| Mailing Fax Number | 7315121896 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2007-11-09 |
| Authorized Official Name | MARSHA MCNAIR (CFO) |
| Authorized Official Telephone | 9014522395 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
0000000824 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 4080747 | 05 | |
| TN | BLUE CROSS & BLUE SHIELD | 4080747 | 01 |
| TN | 1452412 | 05 |
| Street Address |
86 E NORTHSTAR DR SUITE E |
| City | JACKSON |
| State | TN |
| Zip Code | 38305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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.