Active NPI
Mrs Homecare, Inc.
Doing business as Mrs of Bainbridge
- Oxygen Equipment & Supplies (DME)
- Bainbridge, GA
National Provider Identifier
1033434139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- MRS HOMECARE, INC.
- Doing business as
- Mrs of Bainbridge
- Practice address
- 1509 E Shotwell St
Suite C
Bainbridge, GA 39819-4201 - Phone
- (229) 493-0071
- Fax
- (229) 493-0073
- NPI assigned
- Mar 31, 2010
- Last updated
- Sep 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Delores Anita Canon
- Title
- Controller
- Phone
- (229) 439-2403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | NU | Primary |
Addresses
Primary practice location
1509 E Shotwell St
Suite C
Bainbridge, GA 39819-4201
Mailing address
711 N Jefferson St
P.O. Box 568
Albany, GA 31701-5120
Phone (229) 439-2403
Other names 1
- MRS OF BAINBRIDGE
National Provider Directory
National Provider DirectoryLocations
1509 E Shotwell St
Ste C
Bainbridge, GA 39819
Phone (229) 493-0071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285718400000",
"number": "1033434139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 N JEFFERSON ST",
"address_2": "P.O. BOX 568",
"city": "ALBANY",
"state": "GA",
"postal_code": "317015120",
"telephone_number": "229-439-2403",
"fax_number": "229-883-8426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 E SHOTWELL ST",
"address_2": "SUITE C",
"city": "BAINBRIDGE",
"state": "GA",
"postal_code": "398194201",
"telephone_number": "229-493-0071",
"fax_number": "229-493-0073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MRS HOMECARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-31",
"last_updated": "2010-09-29",
"status": "A",
"authorized_official_last_name": "CANON",
"authorized_official_first_name": "DELORES",
"authorized_official_middle_name": "ANITA",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "229-439-2403",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MRS OF BAINBRIDGE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bainbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.