Active NPI
Health and Homecare of Erwin Inc
- Durable Medical Equipment & Medical Supplies
- Erwin, TN
National Provider Identifier
1932292919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HEALTH AND HOMECARE OF ERWIN INC
- Practice address
- 629 N Main St
Erwin, TN 37650 - Phone
- (423) 743-2330
- Fax
- (423) 743-5090
- NPI assigned
- Oct 2, 2006
- Last updated
- Oct 21, 2021
- 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
- Jacob W Swafford
- Title
- President
- Phone
- (423) 743-2330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
629 N Main St
Erwin, TN 37650
Mailing address
PO Box 460
Erwin, TN 37650
Phone (423) 743-2330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3557381 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930038101 | TN | DME Supplier - Medical Supply Company | 3577680735 | Practice locations: Erwin, TN |
National Provider Directory
National Provider Directory- Tax ID family
- Health Homecare-Erwin
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Health and Homecare
- Oxygen Equipment & Supplies (DME)
- Erwin, TN
- NPI 1366106577
Locations
629 N Main Ave
Erwin, TN 37650
Phone (423) 743-2330
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Health and Homecare
- Oxygen Equipment & Supplies (DME)
- Erwin, TN
- NPI 1366106577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634774400000",
"number": "1932292919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 460",
"city": "ERWIN",
"state": "TN",
"postal_code": "37650",
"telephone_number": "423-743-2330",
"fax_number": "423-743-5090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 N MAIN ST",
"city": "ERWIN",
"state": "TN",
"postal_code": "37650",
"telephone_number": "423-743-2330",
"fax_number": "423-743-5090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH AND HOMECARE OF ERWIN INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A",
"authorized_official_last_name": "SWAFFORD",
"authorized_official_first_name": "JACOB",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "423-743-2330"
},
"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": "3557381",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erwin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.