Organization Active NPI

Mountain Home Care Equipment, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Blue Ridge, GA
National Provider Identifier
1306036389
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
MOUNTAIN HOME CARE EQUIPMENT, INC.
Practice address
4147 E First St
Blue Ridge, GA 30513-4527
Phone
(706) 946-4494
Fax
(706) 946-3910
NPI assigned
Jul 26, 2007
Organization subpart
Yes
Parent organization
MOUNTAIN HOME CARE EQUIPMENT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Authorized official

Name
Mrs. Pam Rhodes
Title
Owner
Phone
(706) 946-4494

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

4147 E First St
Blue Ridge, GA 30513-4527

Mailing address

200 Industrial Blvd
Suite 113
Ellijay, GA 30540-3722
Phone (706) 635-4494

Other identifiers 1

IdentifierTypeStateIssuer
00319503BMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Mountain Home Care Eqpt2 organizations share this tax ID, including this one
Part of
Mountain Home Care Eqpt

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4147 E First St
Blue Ridge, GA 30513
Phone (706) 946-4494

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229644800000",
    "number": "1306036389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 INDUSTRIAL BLVD",
            "address_2": "SUITE 113",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305403722",
            "telephone_number": "706-635-4494",
            "fax_number": "706-635-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4147 E FIRST ST",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134527",
            "telephone_number": "706-946-4494",
            "fax_number": "706-946-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN HOME CARE EQUIPMENT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNTAIN HOME CARE EQUIPMENT, INC.",
        "enumeration_date": "2007-07-26",
        "last_updated": "2008-12-19",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-946-4494",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00319503B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; 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.