Organization Active NPI

M.G.R. Homecare, Inc

  • Durable Medical Equipment & Medical Supplies
  • Griffin, GA
National Provider Identifier
1972588002
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
M.G.R. HOMECARE, INC
Practice address
1012 Memorial Dr
Ste. 4
Griffin, GA 30223-4411
Phone
(770) 228-6371
Fax
(770) 229-5443
NPI assigned
Dec 13, 2005
Last updated
Apr 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Meredith A Bennett Jr.
Title
Manager
Phone
(770) 228-6371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1012 Memorial Dr
Ste. 4
Griffin, GA 30223-4411

Mailing address

1012 Memorial Dr
Ste. 4
Griffin, GA 30223-4411
Phone (770) 228-6371

Other identifiers 1

IdentifierTypeStateIssuer
000187778AMedicaidGA

National Provider Directory

National Provider Directory

Locations

1007 W Taylor St
Griffin, GA 30223
Phone (770) 228-6371

1012 Memorial Dr
Ste 4
Griffin, GA 30223
Phone (770) 228-6371

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1972588002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 MEMORIAL DR",
            "address_2": "STE. 4",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302234411",
            "telephone_number": "770-228-6371",
            "fax_number": "770-229-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 MEMORIAL DR",
            "address_2": "STE. 4",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302234411",
            "telephone_number": "770-228-6371",
            "fax_number": "770-229-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.G.R. HOMECARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-228-6371",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000187778A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.