The Home Medical Store, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE HOME MEDICAL STORE, LLC

Doing business as

HOME MEDICAL STORE

Practice address

4377 Hugh Howell Rd
Tucker, GA 30084-4706

Phone

(770) 939-7112

NPI assigned

Sep 13, 2024

Organization subpart

No

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

Authorized official

Name

Judy Bell, EA

Title

Cfo

Phone

(770) 939-7112

Specialties & licenses 1

Addresses

Other names 1

• HOME MEDICAL STORE Doing business as

Locations

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1265268387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4377 HUGH HOWELL RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844706",
            "telephone_number": "770-939-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4377 HUGH HOWELL RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844706",
            "telephone_number": "770-939-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOME MEDICAL STORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-939-7112",
        "authorized_official_credential": "EA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOME MEDICAL STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Tucker, GA
• Providers in Tucker, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.