RUCKER HOLDINGS (NPI# 1396202495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396202495 |
| Entity Type | Organization |
| Organization Name | RUCKER HOLDINGS |
| Other Organization Name | JONES MEDICAL EQUIPMENT |
| Practice Address |
210 Grand Central Blvd Pooler GA 31322 |
| Mailing Address |
481 Elma G Miles Pkwy Ste B Hinesville GA 31313-4004 |
| Practice Telephone | 9128773202 |
| Mailing Telephone | 9128773202 |
| Mailing Fax Number | 9128773206 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | MRS. KRISTINA RUCKER (CEO) |
| Authorized Official Telephone | 9128773202 |
| Is Organization Subpart | Y |
| Parent Organization Name | RUCKER HOLDING'S, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003139319A | 05 |
| Other Name | Type Code |
|---|---|
| Jones Medical Equipment | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578900841 | Rucker Holdings | Durable Medical Equipment & Medical Supplies | 481 Elma G Miles Pkwy Ste B, Hinesville, GA 31313-4004 | 2013-05-28 |
| Street Address |
210 GRAND CENTRAL BLVD |
| City | POOLER |
| State | GA |
| Zip Code | 31322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427518745 | Quinate Pharmacy LLC | Pharmacy | 1557 Pooler Pkwy, Suite 400, Pooler, GA 31322 | 2019-03-22 |
| 1306301841 | Altamaha Dme, Inc | Durable Medical Equipment & Medical Supplies | 1557 Pooler Parkway, Suite 300, Pooler, GA 31322 | 2019-02-08 |
| 1750859351 | Bombery Chiropractic LLC | Chiropractor | 122 Canal St. Ste 109, Pooler, GA 31322 | 2018-11-13 |
| 1407347891 | Georgia Dental Professionals, PC | Dentist | 2140 Pooler Pkwy, Pooler, GA 31322 | 2018-05-22 |
| 1730685439 | Monali Patel | Optometrist | 276 Pooler Pkwy Ste B, Pooler, GA 31322 | 2018-04-02 |
| 1144747023 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 101 Blue Moon Crossing, Pooler, GA 31322 | 2017-08-23 |
| 1063932408 | The Range Physical Therapy, LLC | Clinic/Center | 10801 County Line Rd, Madison, AL 31322 | 2017-06-27 |
| 1285154427 | Pooler Physical Therapy LLC | Clinic/Center | 101 Shepherd Way, Pooler, GA 31322 | 2017-06-20 |
| 1578009130 | Georgia Cvs Pharmacy L.l.c | Durable Medical Equipment & Medical Supplies | 500 Pooler Pkwy, Pooler, GA 31322 | 2017-01-06 |
| 1942751094 | Daysha Phimphone | Counselor | 184 Hamiton Grove Drive, Pooler, GA 31322 | 2016-10-24 |
| Find all providers in zip 31322 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306301841 | Altamaha Dme, Inc | Durable Medical Equipment & Medical Supplies | 1557 Pooler Parkway, Suite 300, Pooler, GA 31322 | 2019-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382547 | At Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1302 Lafayette Pkwy Ste D, Lagrange, GA 30241-2611 | 2020-10-05 |
| 1427679661 | T E A M Medical LLC | Durable Medical Equipment & Medical Supplies | 3771 Monticello St, Douglasville, GA 30135-7722 | 2020-04-28 |
| 1306483003 | Family Home Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 2601 Parkwood Dr Ste D, Brunswick, GA 31520-4724 | 2019-12-02 |
| 1518519479 | Ogles Oxygen, LLC | Durable Medical Equipment & Medical Supplies | 5021 Mercer University Dr Ste D4, Macon, GA 31210-6226 | 2019-07-11 |
| 1306403639 | Trinity Healthcare of Winston-salem, Inc. | Durable Medical Equipment & Medical Supplies | 572 Peachtree Pkwy Ste 3, Cumming, GA 30041-5800 | 2019-05-22 |
| 1417416827 | Accucare Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1601 Fair Rd Ste 1200, Statesboro, GA 30458-0801 | 2019-03-15 |
| 1376009118 | Meadows Healthcare Alliance, Inc. | Durable Medical Equipment & Medical Supplies | 1525 Fair Rd Ste 105, Statesboro, GA 30458-6118 | 2019-02-18 |
| 1750866174 | Envip Medical Supplies | Durable Medical Equipment & Medical Supplies | 130 Eagle Spring Ct Ste D, Stockbridge, GA 30281-7252 | 2018-10-02 |
| 1538645502 | Lawrence Medical Supplies | Durable Medical Equipment & Medical Supplies | 1581 Lester Rd Nw Ste B8, Conyers, GA 30012-3950 | 2018-07-12 |
| 1306358718 | Elite Wound Care and Medical Supplies | Durable Medical Equipment & Medical Supplies | 2498 Washington Rd Ste B, Thomson, GA 30824-6600 | 2017-10-26 |
| Find all providers with the same taxonomy | ||||
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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.