Organization Active NPI

Mrs Homecare, Inc.

Doing business as Mrs of Bainbridge

  • Oxygen Equipment & Supplies (DME)
  • Bainbridge, GA
National Provider Identifier
1033434139
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.