Home Medical Services – Customized Equipment (DME)

Key facts

NPI: 1669598488
Entity type: Organization (NPI type 2)
Primary specialty: Customized Equipment (DME) 332BC3200X
Legal business name: HOME MEDICAL SERVICES
Practice address: 1403 S Main St
Suite B2
Poplarville, MS 39470-3394
Phone: (601) 795-6863
Fax: (601) 795-6864
NPI assigned: Mar 22, 2007
Organization subpart: No

Authorized official

Name: Mrs. Tammy Neron
Title: President
Phone: (228) 363-0500

National Provider Directory

Locations

1403 S Main St
Ste B2
Poplarville, MS 39470
Phone (601) 795-6863

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Customized Equipment (DME)	332BC3200X		MS	Yes

Addresses

Primary practice location

1403 S Main St
Suite B2
Poplarville, MS 39470-3394

Mailing address

PO Box 1633
Ocean Springs, MS 39566-1633
Phone (601) 795-6863

Other identifiers

Identifier	Type	State	Issuer
0440617	Medicaid	MS
1624691	Medicaid	LA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669598488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1633",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395661633",
            "telephone_number": "601-795-6863",
            "fax_number": "601-795-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S MAIN ST",
            "address_2": "SUITE B2",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394703394",
            "telephone_number": "601-795-6863",
            "fax_number": "601-795-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NERON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-363-0500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440617",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1624691",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplarville, MS

All providers in Poplarville, MS · Customized Equipment (DME) in Mississippi

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.