Active NPI
Mountain Home Care Equipment, Inc.
- Oxygen Equipment & Supplies (DME)
- Ellijay, GA
National Provider Identifier
1669435715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 332BX2000X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00319503A | Medicaid | GA | |
| 00649129A | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI 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
- Abigail Cressie Meeks, CCC-SLP
- Adrienne Elayne Menzel, APRN
- Brett A Minter, PT
- Meghan Anne Monsrud, FNP-C
- Mountain Home Care Equipment, Inc
- Mountain Top Primary Care Medical Associates
- Mountain View Home Care LLC (Visiting Angels)
- Natural Wellness Center of Ellijay
- Maria Jean Nelsen, O.D.
- Nes of Florida Inc
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.