Active NPI
Home Medical Equipment
- Oxygen Equipment & Supplies (DME)
- Waynesboro, MS
National Provider Identifier
1902980329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 03899/11.1
- Legal business name
- HOME MEDICAL EQUIPMENT
- Practice address
- 923A Wayne Street
Waynesboro, MS 39367-2571 - Phone
- (601) 735-3314
- Fax
- (601) 735-5885
- NPI assigned
- Oct 24, 2006
- Last updated
- Feb 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Warren E. Hutto, R.PH.
- Title
- President
- Phone
- (601) 735-3314
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 03899/11.1 | MS | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 03899/11.1 | MS | Primary |
Addresses
Primary practice location
923A Wayne Street
Waynesboro, MS 39367-2571
Mailing address
923 A Wayne St
Waynesboro, MS 39367-2571
Phone (601) 735-3314
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009982150 | Medicaid | AL | |
| 04628340 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
923 Wayne St
#A
Waynesboro, MS 39367
Phone (601) 735-3314
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Waynesboro, MS
- NPI 1316536121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328227200000",
"number": "1902980329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 A WAYNE ST",
"city": "WAYNESBORO",
"state": "MS",
"postal_code": "393672571",
"telephone_number": "601-735-3314",
"fax_number": "601-735-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923A WAYNE STREET",
"city": "WAYNESBORO",
"state": "MS",
"postal_code": "393672571",
"telephone_number": "601-735-3314",
"fax_number": "601-735-5885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME MEDICAL EQUIPMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2012-02-03",
"status": "A",
"authorized_official_last_name": "HUTTO",
"authorized_official_first_name": "WARREN",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "601-735-3314",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "MS",
"license": "03899/11.1",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "MS",
"license": "03899/11.1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009982150",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04628340",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waynesboro, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.