HERITAGE MEDICAL SUPPLY LLC (NPI# 1275021586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275021586 |
Entity Type | Organization |
Organization Name | HERITAGE MEDICAL SUPPLY LLC |
Practice Address |
155 Westridge Pkwy Ste 217 Mcdonough GA 30253 |
Mailing Address |
155 Westridge Pkwy Ste 218 Mcdonough GA 30253-3051 |
Practice Telephone | 6787825702 |
Enumeration Date | 2018-04-23 |
Last Update Date | 2020-04-27 |
Authorized Official Name | ROBERT CORKHILL (OWNER) |
Authorized Official Telephone | 9549939991 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Street Address |
155 WESTRIDGE PKWY STE 217 |
City | MCDONOUGH |
State | GA |
Zip Code | 30253 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
1225579030 | Ace Educationinternational Inc | Voluntary or Charitable | 483 Walker Drive, Mcdonough, GA 30253 | 2017-03-13 |
Find all providers in zip 30253 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073114427 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 3479 Highway 81 East, Mcdonough, GA 30252 | 2020-11-03 |
1376169607 | Medline Industries, Inc. | Durable Medical Equipment & Medical Supplies | 1500 Medline Pl, Mcdonough, GA 30253-7664 | 2020-06-23 |
1598228413 | Christopher Jude Gobert | Durable Medical Equipment & Medical Supplies | 460 Silverton Dr, Mcdonough, GA 30252-4199 | 2019-04-08 |
1326503913 | Pain Free You LLC | Durable Medical Equipment & Medical Supplies | 917 Jonesboro Rd Ste B, Mcdonough, GA 30253-6031 | 2019-02-07 |
1720475908 | D's Ventures Dba Logmet Solutions | Durable Medical Equipment & Medical Supplies | 301 Little Gem Ct, Mcdonough, GA 30253-4676 | 2015-04-25 |
1952700908 | Orthotech Atlanta, LLC | Durable Medical Equipment & Medical Supplies | 114 Jonesboro St, Mcdonough, GA 30253-3119 | 2014-08-15 |
1699192146 | Cj Turner Co. Inc. | Durable Medical Equipment & Medical Supplies | 2260 Jonesboro Rd, Mcdonough, GA 30253-5913 | 2014-03-22 |
1134543689 | Carlton Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 2260 Jonesboro Road, Mcdonough, GA 30253 | 2014-02-04 |
1083036453 | Sharon Fuller | Durable Medical Equipment & Medical Supplies | 1490 Ethans Way, Mcdonough, GA 30252-1708 | 2014-01-20 |
1396167615 | Orthopedic Specialties, LLC | Durable Medical Equipment & Medical Supplies | 1066 Crown Landing Pkwy, Mcdonough, GA 30252-8716 | 2014-01-07 |
Find all providers in MCDONOUGH |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.