Homecare Medical Groups

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

01782 Issued in NC

Legal business name

HOMECARE MEDICAL GROUPS

Practice address

10429 Ligon Mill Rd
Wake Forest, NC 27587-4987

Phone

(866) 415-4210

NPI assigned

May 17, 2011

Last updated

May 17, 2011By 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

Latosha Tyson, CPED, CFM, BS

Title

Representative

Phone

(866) 415-4210

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1790078210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1893",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275881893",
            "telephone_number": "866-415-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10429 LIGON MILL RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874987",
            "telephone_number": "866-415-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE MEDICAL GROUPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "LATOSHA",
        "authorized_official_title_or_position": "REPRESENTATIVE",
        "authorized_official_telephone_number": "866-415-4210",
        "authorized_official_credential": "CPED, CFM, BS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "01782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Dean Holmes, D.C.
• Dominique Holmes, LMFTA
• Laura B Holmes, LRT, CTRS, CBIS
• Lynn Holt, RPH
• Amber Swift Holton, MA, LPC
• Homecare Medical Groups LLC
• Homestrides LLC
• Jason Kyle Honaker, PA
• Honest Beginnings Inc
• John Honeycutt

• Durable Medical Equipment & Medical Supplies in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.