Healthmark Home Medical Equipment

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HEALTHMARK HOME MEDICAL EQUIPMENT

Practice address

2918 Citizens Pkwy
Selma, AL 36701

Phone

(334) 418-0085

Fax

(334) 418-4719

NPI assigned

Aug 2, 2006

Last updated

Jul 24, 2013By 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. Lisa Jones Surrett

Title

Administrative Tech

Phone

(334) 418-0085

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1851308845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 853",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367020853",
            "telephone_number": "334-418-0085",
            "fax_number": "334-418-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 CITIZENS PKWY",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "36701",
            "telephone_number": "334-418-0085",
            "fax_number": "334-418-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHMARK HOME MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "SURRETT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "ADMINISTRATIVE TECH",
        "authorized_official_telephone_number": "334-418-0085",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009710160",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jan Vann Hayden, MA, LPC
• Healthcare Home Services LLC (Ballard Home Care)
• Henderson Chiropractic Inc
• Allen Randolph Henderson, DC
• Erica Henderson
• John David Henderson, D.M.D.
• Pelham H Henry Jr., DMD

• Durable Medical Equipment & Medical Supplies in Selma, AL
• Providers in Selma, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.