Organization Active NPI

Forrest City Home Medical Equipment, LLC

  • Durable Medical Equipment & Medical Supplies
  • Forrest City, AR
National Provider Identifier
1801842836
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FORREST CITY HOME MEDICAL EQUIPMENT, LLC
Practice address
101 N Rosser St
Forrest City, AR 72335-3219
Phone
(870) 633-5176
Fax
(870) 630-0530
NPI assigned
May 25, 2006
Last updated
Dec 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Mr. Gary L. Hughes
Title
President Ceo
Phone
(870) 633-5176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X AR Primary

Addresses

Primary practice location

101 N Rosser St
Forrest City, AR 72335-3219

Mailing address

PO Box 106
Forrest City, AR 72336-0106
Phone (870) 633-5176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930054633 AR DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 6204038748 Practice locations: Forrest City, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Medical Technology101 N Rosser St, Forrest City, AR 72335-3219(870) 633-5176 Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|Canes and/or Crutches|Patient Lifts|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchai… Accepts assignmentParticipating since Jan 1, 2007

National Provider Directory

National Provider Directory
Tax ID family
Forrest City Home Medical Equipment2 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.

Locations

101 N Rosser St
Forrest City, AR 72335
Phone (870) 633-5176

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1801842836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 106",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723360106",
            "telephone_number": "870-633-5176",
            "fax_number": "870-630-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N ROSSER ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353219",
            "telephone_number": "870-633-5176",
            "fax_number": "870-630-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORREST CITY HOME MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT  CEO",
        "authorized_official_telephone_number": "870-633-5176",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forrest City, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.