NPIMap

Organization Active NPI

Mrs Homecare, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Macon, GA
National Provider Identifier
1972506285
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
MRS HOMECARE, INC.
Practice address
4010 Northside Dr
Unit a
Macon, GA 31210-1693
Phone
(478) 477-7660
Fax
(478) 477-4270
NPI assigned
May 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Mr. E Thomas Riddle
Title
President
Phone
(229) 439-2403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

4010 Northside Dr
Unit a
Macon, GA 31210-1693

Mailing address

PO Box 568
Albany, GA 31702-0568
Phone (229) 439-2403

Other identifiers 1

IdentifierTypeStateIssuer
000238697CMedicaidGA

Other names 1

  • MRS OF MACON Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930031137 GA DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 7810015575 Practice locations: Warner Robins, GA

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Mrs of Macon15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1972506285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317020568",
            "telephone_number": "229-439-2403",
            "fax_number": "229-883-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 NORTHSIDE DR",
            "address_2": "UNIT A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101693",
            "telephone_number": "478-477-7660",
            "fax_number": "478-477-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRS HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-439-2403",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000238697C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRS OF MACON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.

Verify at the official NPI Registry.