NPIMap

Organization Active NPI

Aerocare Home Medical, Inc.

Doing business as Grace Healthcare

  • Oxygen Equipment & Supplies (DME)
  • Lucedale, MS
National Provider Identifier
1487291977
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
AEROCARE HOME MEDICAL, INC.
Doing business as
Grace Healthcare
Practice address
2210 Mill Street Ext Ste F
Lucedale, MS 39452-6079
Phone
(228) 224-3096
NPI assigned
Dec 4, 2019
Last updated
Dec 4, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
AEROCARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Authorized official

Name
Stephen P Griggs
Title
Ceo, President
Phone
(407) 206-0040

Specialties & licenses 1

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

Addresses

Primary practice location

2210 Mill Street Ext Ste F
Lucedale, MS 39452-6079

Mailing address

3325 Bartlett Blvd
Orlando, FL 32811-6428
Phone (407) 710-8947

Other names 1

  • Grace Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aerocare Home Medical Inc6 organizations share this tax ID, including this one
Part of
Aerocare Holdings Inc

Other organizations with this tax ID 5

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

Locations

2210 Mill Street Ext
Ste F
Lucedale, MS 39452
Phone (228) 224-3096

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1487291977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 BARTLETT BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328116428",
            "telephone_number": "407-710-8947",
            "fax_number": "888-247-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 MILL STREET EXT STE F",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526079",
            "telephone_number": "228-224-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEROCARE HOME MEDICAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AEROCARE HOLDINGS, INC.",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "407-206-0040"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lucedale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.