Southeast Homecare & Respiratory Services

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

SOUTHEAST HOMECARE & RESPIRATORY SERVICES

Practice address

2150 Central Ave
Augusta, GA 30904-6713

Phone

(706) 736-7334

NPI assigned

Apr 4, 2006

Last updated

Aug 25, 2010By 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. Wendy C. Thompson

Title

Area Manager

Phone

(706) 736-3664

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Southeast Homecare Respiratory Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Southeast Homecare & Respiratory Services

  • Oxygen Equipment & Supplies (DME)
  • Waynesboro, GA
  • NPI 1205063328
  NPD tax ID
• Southeast Homecare & Respiratory Services

  • Oxygen Equipment & Supplies (DME)
  • Aiken, SC
  • NPI 1689636789
  NPD tax ID

Locations

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1629030721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2120",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308092120",
            "telephone_number": "706-736-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046713",
            "telephone_number": "706-736-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST HOMECARE & RESPIRATORY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "AREA MANAGER",
        "authorized_official_telephone_number": "706-736-3664",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "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": "DE2074",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00951145A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillian Marie Soto, MD
• Anas Souid, MD
• South Augusta Dialysis Clinic LLC
• South East Behavioral Community Services, Inc.
• South Path, P.C.
• Southeast Hospice, LLC, (Southeast Hospice)
• Southeast Retina Center PC
• Southeastern Behavioral Health Services
• Southeastern Medical Brokers, Inc. (Integrity Medical)
• Southern Anesthesia of Augusta LLC

• Oxygen Equipment & Supplies (DME) in Augusta, GA
• Providers in Augusta, GA by specialty
• Oxygen Equipment & Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.