At-Home Medical Supply
Organization Active NPI Durable Medical Equipment & Medical Supplies · Jackson, MS
NPI 1285099192 · NPPES record last updated Apr 26, 2016
Key facts
- NPI
- 1285099192
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- AT-HOME MEDICAL SUPPLY
- Practice address
- 5015 I 55 N Ste B
Jackson, MS 39206-4306 - Phone
- (601) 362-3019
- Fax
- (601) 362-0405
- NPI assigned
- Dec 18, 2015
- Organization subpart
- No
Authorized official
- Name
- Jeanette Felton
- Title
- Ceo
- Phone
- (601) 362-3019
Corporate family (same tax ID) 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| At Home Medical Supply |
Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lif… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160601000622 | MS | DME Supplier - Medical Supply Company | 3678863826 | Practice locations: Jackson, MS |
National Provider Directory
- Tax ID family
- At Home Medical Supply
Locations
5015 I 55 N
Ste A
Jackson, MS 39206
Phone (601) 362-1701
5015 I 55 N
Ste B
Jackson, MS 39206
Phone (601) 362-3019
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MS | Yes |
Addresses
Primary practice location
5015 I 55 N Ste B
Jackson, MS 39206-4306
Mailing address
306 Church St
Port Gibson, MS 39150-2108
Phone (601) 437-3524
Other providers in Jackson, MS
- Brittney Assavedo
- Assurance Home Health Services, LLC
- Assurance Home Health Services, LLC
- At Home Care, Inc.
- At Home Hospice Care, Inc.
- Mohammad Atari
- Elizabeth Ann Atchley
- Austin Christopher Atkins
- Ann Atkinson
- Jennifer Loren Atkinson
All providers in Jackson, MS · Durable Medical Equipment & Medical Supplies in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.