Home Medical Professional Service

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HOME MEDICAL PROFESSIONAL SERVICE

Practice address

4480 Riverside Drive
Suite 11
Macon, GA 31210

Phone

(478) 471-7715

Fax

(478) 757-0234

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ethan Darnelle Brown Sr.

Title

Owner

Phone

(478) 471-7715

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851489843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7967",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31209",
            "telephone_number": "478-471-7715",
            "fax_number": "478-757-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 RIVERSIDE DRIVE",
            "address_2": "SUITE 11",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31210",
            "telephone_number": "478-471-7715",
            "fax_number": "478-757-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME MEDICAL PROFESSIONAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "DARNELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-471-7715",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farrel Lee Holt, L.D.O., NCLEC, ABOC
• Patrick Lewis Holt, PHARMD, RPH
• Chloe Holton, AMFT
• Katherine G Holtzclaw, LMFT
• Home Companions Plus, Inc.
• Nancy Honeycutt, P.T.
• Amanda S. Hood
• Hooks Case Management Services
• Hooks Home of Care
• Lindsay Allison Hooks

• Durable Medical Equipment & Medical Supplies in Macon, GA
• Providers in Macon, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.