Home Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HOME MEDICAL SUPPLIES LLC

Practice address

3939 Royal Dr NW Ste 109
Kennesaw, GA 30144-6453

Phone

(770) 343-9929

Fax

(678) 716-8786

NPI assigned

Sep 10, 2017

Organization subpart

No

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

Authorized official

Name

Khaled Chabayta

Title

Partner

Phone

(404) 514-4084

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505001600000",
    "number": "1407375546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 LAURIAN DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445182",
            "telephone_number": "770-343-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 ROYAL DR NW STE 109",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446453",
            "telephone_number": "770-343-9929",
            "fax_number": "678-716-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-10",
        "last_updated": "2017-09-10",
        "status": "A",
        "authorized_official_last_name": "CHABAYTA",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "404-514-4084"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2017; 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.