MIKE'S HOME MEDICAL (NPI# 1790955029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790955029 |
| Entity Type | Organization |
| Organization Name | MIKE'S HOME MEDICAL |
| Practice Address |
5504 Staples Mill Plz Woodbridge VA 22193-3247 |
| Practice Telephone | 7036802225 |
| Practice Fax Number | 7036802011 |
| Mailing Telephone | 7036802225 |
| Mailing Fax Number | 7036802011 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |
| Authorized Official Name | MR. DALWUAN R. WILLIAMS (PRESIDENT) |
| Authorized Official Telephone | 7036802225 |
| 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 |
0206009425 | VA | Suppliers |
| Street Address |
5504 STAPLES MILL PLZ |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22193-3247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689629255 | Professional Healthcare Group | Clinical Medical Laboratory | 5504 Staples Mill Plz, Woodbridge, VA 22193-3247 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083111702 | Bethiana Magallanes White | Speech-Language Pathologist | 14450 Brook Dr, Woodbridge, VA 22193 | 2018-04-09 |
| 1982111449 | Frances Davis | Social Worker | 4196 Merchant Plaza Apt 632, Woodbridge, VA 22193 | 2018-01-05 |
| 1427421627 | Woodbridge Therapy Group LLC | Counselor | 12721 Darby Brooke Ct., Suite 102, Woodbridge, VA 22193 | 2015-11-10 |
| 1972981090 | Lifeline Home Health Inc | Community/Behavioral Health | 4309 Kenwood Dr, Woodbridge, VA 22193 | 2015-05-08 |
| 1588056139 | Lifelong Good Health LLC | Clinic/Center | 5721 Rhode Isalnd Drive, Woodbridge, VA 22193 | 2015-02-19 |
| 1639560378 | Tara Devi Smith | Psychologist | 13855 Hedgewood Drive, #245, Woodbridge, VA 22193 | 2015-02-17 |
| 1710396114 | Allanna Harrison | Speech-Language Pathologist | 15792 Beau Ridge Dr., Woodbridge, VA 22193 | 2014-08-11 |
| 1659788909 | Lifelong Good Health | Clinic/Center | 5721 Rhode Island Dr, Woodbridge, VA 22193 | 2014-07-18 |
| 1952731960 | Corrieann Marie Avila | Social Worker | 12721 Darby Brooke Court, Suite 102, Woodbridge, VA 22193 | 2013-11-13 |
| 1972881019 | Ockhee Jung | Acupuncturist | 14174 Rizdon Ct, Woodbridge, VA 22193 | 2011-07-22 |
| Find all providers in zip 22193 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336808 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 105 N Virginia Ave Ste 203, Falls Church, VA 22046-3323 | 2020-11-02 |
| 1780292441 | Rapid Global Responders LLC | Durable Medical Equipment & Medical Supplies | 13612 Village Green Dr, Leesburg, VA 20176-5007 | 2020-07-20 |
| 1932738036 | Roberts Home Medical LLC | Durable Medical Equipment & Medical Supplies | 210 Fort Collier Rd Ste 1and2, Winchester, VA 22603-5738 | 2020-04-02 |
| 1619502853 | Tactical Rehabilitation Inc | Durable Medical Equipment & Medical Supplies | 231 Potomac Ave, Quantico, VA 22134-3458 | 2020-03-09 |
| 1316587041 | Mms Norfolk, Inc. | Durable Medical Equipment & Medical Supplies | 11828 Canon Blvd Ste C, Newport News, VA 23606-2554 | 2020-01-10 |
| 1427698158 | Mms Norfolk, Inc. | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 113, Chesapeake, VA 23320-2887 | 2020-01-10 |
| 1093363251 | 1st Choice In-homecare, Inc. | Durable Medical Equipment & Medical Supplies | 161-a John Jefferson Road Ste 101, Williamsburg, VA 23185 | 2019-08-30 |
| 1386292860 | 1st Choice In-homecare, Inc. | Durable Medical Equipment & Medical Supplies | 1035 Champions Way Ste 200, Suffolk, VA 23435-3762 | 2019-08-28 |
| 1639668791 | Airway Breathing Co | Durable Medical Equipment & Medical Supplies | 1117 Old Colony Ln Ste B, Williamsburg, VA 23185-3801 | 2018-05-04 |
| 1508362757 | Robert Mcclatchey | Durable Medical Equipment & Medical Supplies | 17865 Main St Ste B, Dumfries, VA 22026-2411 | 2018-04-04 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22193 |
Please comment or provide details below to improve the information on MIKE'S HOME MEDICAL.
| 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.