NPIMap

Organization Active NPI

Medicom, Inc.

Doing business as Lyon Home Care

  • Oxygen Equipment & Supplies (DME)
  • Waynesville, MO
National Provider Identifier
1376759514
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
900708 Issued in MO
Legal business name
MEDICOM, INC.
Doing business as
Lyon Home Care
Practice address
215 North St
Suite a
Waynesville, MO 65583-2553
Phone
(573) 774-8488
Fax
(573) 774-6806
NPI assigned
May 15, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Benny Earl Thomas, D.O.
Title
Secretary
Phone
(573) 774-6279

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 900708 MO
Oxygen Equipment & Supplies (DME) 332BX2000X 900708 MO Primary
Prosthetic/Orthotic Supplier 335E00000X 900708 MO

Addresses

Primary practice location

215 North St
Suite a
Waynesville, MO 65583-2553

Mailing address

215 North St
Suite a
Waynesville, MO 65583-2553
Phone (573) 774-8488

Other names 1

  • LYON HOME CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lyon Home Care2 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.

Locations

215 North St
Ste A
Waynesville, MO 65583
Phone (573) 774-8488

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1376759514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 NORTH ST",
            "address_2": "SUITE A",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655832553",
            "telephone_number": "573-774-8488",
            "fax_number": "573-774-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 NORTH ST",
            "address_2": "SUITE A",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655832553",
            "telephone_number": "573-774-8488",
            "fax_number": "573-774-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICOM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "BENNY",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "573-774-6279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "900708",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MO",
            "license": "900708",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MO",
            "license": "900708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LYON HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.