Active NPI
The Home Medical Equipment & Supply Store
- Durable Medical Equipment & Medical Supplies
- Tucker, GA
National Provider Identifier
1265533020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- THE HOME MEDICAL EQUIPMENT & SUPPLY STORE
- Practice address
- 4377 Hugh Howell Rd
Suite a
Tucker, GA 30084-4706 - Phone
- (770) 939-7160
- NPI assigned
- Sep 26, 2006
- Last updated
- Aug 9, 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
- Mr. George Lee Bell
- Title
- Ceo
- Phone
- (770) 939-7160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
4377 Hugh Howell Rd
Suite a
Tucker, GA 30084-4706
Mailing address
4377 Hugh Howell Rd
Suite a
Tucker, GA 30084-4706
Phone (770) 939-7160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 628610947A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
4377 Hugh Howell Rd
#A
Tucker, GA 30084
Phone (770) 939-7160
4377 Hugh Howell Rd
Ste A
Tucker, GA 30084
Phone (770) 939-7160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281312000000",
"number": "1265533020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4377 HUGH HOWELL RD",
"address_2": "SUITE A",
"city": "TUCKER",
"state": "GA",
"postal_code": "300844706",
"telephone_number": "770-939-7160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4377 HUGH HOWELL RD",
"address_2": "SUITE A",
"city": "TUCKER",
"state": "GA",
"postal_code": "300844706",
"telephone_number": "770-939-7160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE HOME MEDICAL EQUIPMENT & SUPPLY STORE",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2010-08-09",
"status": "A",
"authorized_official_last_name": "BELL",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-939-7160",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "628610947A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
- Thomas Bayeh Temesgen
- Terminus Physical Therapy LLC
- The Auc Institute for Career Studies, Inc.
- The Butterfly Effect Group, LLC
- The Emory Clinic Inc. (Emory Ambulatory Surgery Center at Tucker)
- The Home Medical Store, LLC (Home Medical Store)
- The Kroger Co (Kroger Pharmacy)
- The Kroger Co (Kroger Pharmacy)
- The Link Institute, LLC
- The Moore Experience
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.