Organization Active NPI

Home Care Medical Equipment LLC

  • Durable Medical Equipment & Medical Supplies
  • Corinth, MS
National Provider Identifier
1669483574
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
03422/11.1 Issued in MS
Legal business name
HOME CARE MEDICAL EQUIPMENT LLC
Practice address
614 Alcorn Dr
Corinth, MS 38834-9393
Phone
(662) 287-6405
Fax
(662) 286-5898
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Mrs. Dusty D Kyle
Title
Owner
Phone
(662) 287-6405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 03422/11.1 MS Primary

Addresses

Primary practice location

614 Alcorn Dr
Corinth, MS 38834-9393

Mailing address

614 Alcorn Dr
Corinth, MS 38834-9393
Phone (662) 287-6405

Other identifiers 1

IdentifierTypeStateIssuer
00440150MedicaidMS

National Provider Directory

National Provider Directory

Locations

125 Pratt Dr
Ste A
Corinth, MS 38834
Phone (662) 287-6405

614 Alcorn Dr
Corinth, MS 38834
Phone (662) 287-6405

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1669483574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349393",
            "telephone_number": "662-287-6405",
            "fax_number": "662-286-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349393",
            "telephone_number": "662-287-6405",
            "fax_number": "662-286-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "KYLE",
        "authorized_official_first_name": "DUSTY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-287-6405",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "03422/11.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440150",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.