Forrest City Home Medical Equipment, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

AR4360 Issued in AR

Legal business name

FORREST CITY HOME MEDICAL EQUIPMENT, LLC

Practice address

101 N Rosser St
Forrest City, AR 72335-3219

Phone

(870) 633-5176

Fax

(870) 630-0530

NPI assigned

Apr 27, 2007

Last updated

Dec 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa A Pruiett

Title

Billing

Phone

(870) 633-5176

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Forrest City Home Medical Equipment2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Forrest City Home Medical Equipment, LLC

  • Durable Medical Equipment & Medical Supplies
  • Forrest City, AR
  • NPI 1801842836
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George Conner III, MD

  • Family Medicine Physician
  • Forrest City, AR
  • NPI 1063460335
  NPD (past)

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1346460664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 106",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723360106",
            "telephone_number": "870-633-5176",
            "fax_number": "870-630-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N ROSSER ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353219",
            "telephone_number": "870-633-5176",
            "fax_number": "870-630-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORREST CITY HOME MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "PRUIETT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "870-633-5176",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346460664",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801842836",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forrest City Clinic Company LLC
• Forrest City Emergency Physicians PLLC
• Forrest City Family Pharmacy LLC (Forrest City Family Pharmacy LTC)
• Forrest City Family Pharmacy LLC
• Forrest City Family Practice Clinic, PA
• Forrest City Home Medical Equipment, LLC
• Forrest City Physician Services, PLLC
• Forrest City School District
• Michael Scott Fortner, CRNA
• Four Seasons Home Care LLC

• Home Health Agency in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Home Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.