Medhome Specialty Services, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

MEDHOME SPECIALTY SERVICES, LLC

Practice address

360 Simpson Highway 149 Ste 120
Magee, MS 39111-3846

Phone

(601) 414-3513

Fax

(601) 414-0725

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Stephen P Griggs

Title

Ceo, President

Phone

(407) 206-0040

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1992713507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 BARTLETT BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328116428",
            "telephone_number": "407-206-0040",
            "fax_number": "407-206-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SIMPSON HIGHWAY 149 STE 120",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113846",
            "telephone_number": "601-414-3513",
            "fax_number": "601-414-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDHOME SPECIALTY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "407-206-0040"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "061158440",
            "primary": false
        },
        {
            "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": "00440898",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela B. McCallum, FNP
• Brianna McCue, NP
• Med-Trans Corporation
• Medcenter Discount Pharmacy Inc
• James Medders III, RPH
• Medicomp, Inc
• Medicomp, Inc
• Medicomp, Inc.
• Kaitlyn L Millis
• Miss Keyes Chiropractic LLC

• Oxygen Equipment & Supplies (DME) in Magee, MS
• Providers in Magee, MS by specialty
• Oxygen Equipment & Supplies (DME) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.