Organization Active NPI

Mountain Home Care Equipment, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Ellijay, GA
National Provider Identifier
1669435715
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
332BX2000X Issued in GA
Legal business name
MOUNTAIN HOME CARE EQUIPMENT, INC.
Practice address
200 Industrial Blvd
Suite 113
Ellijay, GA 30540-3722
Phone
(706) 635-4494
Fax
(706) 635-3910
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Mr. John Rhodes, CRRT/RRT
Title
Owner
Phone
(706) 635-4494

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Oxygen Equipment & Supplies (DME) 332BX2000X 332BX2000X GA Primary

Addresses

Primary practice location

200 Industrial Blvd
Suite 113
Ellijay, GA 30540-3722

Mailing address

PO Box 675
Ellijay, GA 30540-0009
Phone (706) 635-4494

Other identifiers 2

IdentifierTypeStateIssuer
00319503AMedicaidGA
00649129AMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1669435715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 675",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305400009",
            "telephone_number": "706-635-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 INDUSTRIAL BLVD",
            "address_2": "SUITE 113",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305403722",
            "telephone_number": "706-635-4494",
            "fax_number": "706-635-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN HOME CARE EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-635-4494",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRRT/RRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": "332BX2000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00319503A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00649129A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.