FAMILY HOME MEDICAL EQUIPMENT, LLC (NPI# 1750994034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750994034 |
| Entity Type | Organization |
| Organization Name | FAMILY HOME MEDICAL EQUIPMENT, LLC |
| Practice Address |
1214 Peterson Ave N Ste P Douglas GA 31533-2835 |
| Mailing 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 | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | MILTON ALBERT THOMAS (PRESIDENT) |
| Authorized Official Telephone | 9122816823 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY HOME MEDICAL EQUIPMENT, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003191517A | 05 |
| 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 |
| 1487104774 | Family Home Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1701 Boulevard Sq Ste C, Waycross, GA 31501-8022 | 2016-10-11 |
| Street Address |
1214 PETERSON AVE N STE P |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-2835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275187403 | Coffee Chiropractic LLC | Chiropractor | 1214 Peterson Ave N Ste P, Douglas, GA 31533-2835 | 2019-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
| Find all providers in zip 31533 | ||||
| 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 |
|---|---|---|---|---|
| 1376990234 | German Dobson Cvs LLC | Durable Medical Equipment & Medical Supplies | 286 E 7th St, Douglas, AZ 85607-2868 | 2016-05-20 |
| 1437318854 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 190 Westside Dr Ste C, Douglas, GA 31533-3534 | 2008-06-02 |
| 1245401967 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 602 Peterson Ave S, Douglas, GA 31533-5233 | 2008-03-20 |
| 1477722718 | Arizona Family Care Associates, Inc | Durable Medical Equipment & Medical Supplies | 1101 San Antonio Ave, Douglas, AZ 85635 | 2008-02-20 |
| 1184806218 | Westside Drugs, Inc | Durable Medical Equipment & Medical Supplies | 308a Westside Dr, Douglas, GA 31533-3530 | 2007-11-30 |
| 1326115130 | Life Line Home Care Inc | Durable Medical Equipment & Medical Supplies | 101 Bowens Mill Rd, Douglas, GA 31533-2254 | 2006-11-29 |
| 1518039155 | Procare Respiratory & Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 511 Peterson Ave S, Douglas, GA 31533-5253 | 2006-11-15 |
| 1528143708 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 815 E Richards St, Ste 5, Douglas, WY 82633-2926 | 2006-10-26 |
| 1669580916 | J H Harvey Co LLC | Durable Medical Equipment & Medical Supplies | 813 Peterson Ave S, Douglas, GA 31533-5234 | 2006-08-28 |
| 1013025485 | J H Harvey Co LLC | Durable Medical Equipment & Medical Supplies | 901 Ward St W, Douglas, GA 31533-3517 | 2006-08-27 |
| Find all providers in DOUGLAS | ||||
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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.