Organization Active NPI

Reach Medcare, LLC

  • Durable Medical Equipment & Medical Supplies
  • Southaven, MS
National Provider Identifier
1124464334
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
REACH MEDCARE, LLC
Practice address
915 Ferncliff Drive
Suite 1B
Southaven, MS 38671-2420
Phone
(662) 253-8442
Fax
(662) 253-8235
NPI assigned
May 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Rodney Brent Walker
Title
Chief Executive Officer
Phone
(662) 253-8442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

915 Ferncliff Drive
Suite 1B
Southaven, MS 38671-2420

Mailing address

915 Ferncliff Drive
Suite 1B
Southaven, MS 38671-2420
Phone (662) 253-8442

National Provider Directory

National Provider Directory

Locations

915 Ferncliff Cv
Ste 1B
Southaven, MS 38671
Phone (662) 253-8442

356 New Byhalia Rd
Ste 1B
Collierville, TN 38017
Phone (901) 854-9333

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1124464334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 FERNCLIFF DRIVE",
            "address_2": "SUITE 1B",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386712420",
            "telephone_number": "662-253-8442",
            "fax_number": "662-253-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 FERNCLIFF DRIVE",
            "address_2": "SUITE 1B",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386712420",
            "telephone_number": "662-253-8442",
            "fax_number": "662-253-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH MEDCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "662-253-8442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.