Home Medical, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

1022 Issued in AR

Legal business name

HOME MEDICAL, INC

Doing business as

Children's Home Medical
Home Medical Inc.

Practice address

3511 SE J St Ste 3
Bentonville, AR 72712-5489

Phone

(479) 464-5987

Fax

(479) 464-5980

NPI assigned

Apr 8, 2007

Last updated

Dec 30, 2020By 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. Ellen L Lindsey, N/A

Title

Insurance Supervisor

Phone

(870) 534-4944

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• Children's Home Medical Doing business as
• Home Medical Inc. Doing business as

Tax ID family

Children's Home Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Home Medical, Inc

  • Durable Medical Equipment & Medical Supplies
  • White Hall, AR
  • NPI 1992764658
  NPD tax ID

Locations

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1669595492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7197 SHERIDAN RD STE 110",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023261",
            "telephone_number": "870-534-4944",
            "fax_number": "870-534-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 SE J ST STE 3",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125489",
            "telephone_number": "479-464-5987",
            "fax_number": "479-464-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-08",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "INSURANCE SUPERVISOR",
        "authorized_official_telephone_number": "870-534-4944",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AR",
            "license": "033202",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AR",
            "license": "1022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159100737",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158764716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Home Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Children's Home Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Medical Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren C Holliman
• Brooke Ann Hollingsworth
• Joyce Ann Hollis, CNM
• Thomas M Holman, DDS
• Jaime Marie Holthaus, APRN
• Evelyn Kristena Honey, OTR/L
• Hook Eye Care, Todd W. Hook, OD, PC
• Todd Walton Hook, O.D.
• Vava C Hooper, DVM
• Hope Academy of Northwest Arkansas

• Oxygen Equipment & Supplies (DME) in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Oxygen Equipment & Supplies (DME) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.