Active NPI
Home Care Medical Equipment LLC
- Durable Medical Equipment & Medical Supplies
- Corinth, MS
National Provider Identifier
1669483574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 03422/11.1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00440150 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
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.