BRAXTEN HOME CARE MEDICAL EQUIPMENT, L.L.C. (NPI# 1396805438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396805438 |
| Entity Type | Organization |
| Organization Name | BRAXTEN HOME CARE MEDICAL EQUIPMENT, L.L.C. |
| Practice Address |
10579 Cedar Grove Rd Suite 150 Smyrna TN 37167-8376 |
| Practice Telephone | 6152205609 |
| Practice Fax Number | 6152205722 |
| Mailing Telephone | 6152205609 |
| Mailing Fax Number | 6152205722 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2011-08-26 |
| Authorized Official Name | MR. ROD PENCEK (OWNER) |
| Authorized Official Telephone | 6152205609 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
0000002171 | TN | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0000002171 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 4100563 | 05 | |
| TN | MEDICARE HMO | HEALTHSPRING | 01 |
| Street Address |
10579 CEDAR GROVE RD SUITE 150 |
| City | SMYRNA |
| State | TN |
| Zip Code | 37167-8376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861746364 | Warm Hearts Care Options | In Home Supportive Care | 10579 Cedar Grove Rd, Ste 140, Smyrna, TN 37167-8376 | 2012-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708864 | Results-ast Jv, LLC | Physical Therapist | 741 Presidents Place, Suite 130, Smyrna, TN 37167 | 2020-10-21 |
| 1659834455 | Jemima Mensah | Nurse Practitioner | 433 Nissan Dr Ste 301, Smyrna, TN 37167 | 2019-04-09 |
| 1538645395 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 111 Movie Row, Smyrna, TN 37167 | 2018-07-16 |
| 1932699915 | Jessica Jones | Physical Therapist | 8414, 1173 Rock Springs Rd, Suite 105, Smyrna, TN 37167 | 2018-05-15 |
| 1962920256 | Faithful Horizons Support Services, Inc. | Respite Care | 204 Spirit Hill Circle, Smyrna, TN 37167 | 2017-09-06 |
| 1386185270 | Marie Murphy | Counselor | 695 President Place, Ste 202, Smyrna, TN 37167 | 2017-03-13 |
| 1932556990 | Tamara Tucker | Social Worker | 680 Windellwood Circle, Smyrna, TN 37167 | 2016-05-19 |
| 1861861056 | Tennessee Dental Professionals, PC | Dentist | 840 Nissan Drive, Smyrna, TN 37167 | 2015-09-18 |
| 1669840211 | Smyrna Modern Dentistry, PC | Dentist | 160 Movie Row, Smyrna, TN 37167 | 2015-09-11 |
| 1548636970 | Hometown Respiratory Consultants Inc | Durable Medical Equipment & Medical Supplies | 13181 Old Nashville Hwy Ste 120, Smyrna, TN 37167 | 2015-08-19 |
| Find all providers in zip 37167 | ||||
| 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 |
|---|---|---|---|---|
| 1396281366 | Wellspring Pharmacy | Durable Medical Equipment & Medical Supplies | 599 Sam Ridley Pkwy W Ste 103, Smyrna, TN 37167-5646 | 2017-01-13 |
| 1407307424 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 2995 Atlanta Rd Se, Smyrna, GA 30080-3654 | 2016-10-14 |
| 1558814632 | Advanced Diagnostic Imaging, PC | Durable Medical Equipment & Medical Supplies | 693 President Pl Ste 103, Smyrna, TN 37167-8601 | 2016-07-26 |
| 1487003877 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 11563 Old Nashville Hwy, Smyrna, TN 37167-3525 | 2016-06-07 |
| 1689092629 | Beyond Diagnostic Services LLC | Durable Medical Equipment & Medical Supplies | 1232 Creekside Pl Se, Smyrna, GA 30082-4882 | 2014-04-06 |
| 1518207737 | Universal Medical Rentals and Equipment Sales, Inc. | Durable Medical Equipment & Medical Supplies | 1640 Roswell St Se, Suite B, Smyrna, GA 30080-2224 | 2013-02-25 |
| 1457604357 | Smyrna Pharmacy and Wellness Inc | Durable Medical Equipment & Medical Supplies | 361 Enon Springs Rd E, Smyrna, TN 37167-3012 | 2012-10-17 |
| 1083969703 | Georgia Medical Specialists | Durable Medical Equipment & Medical Supplies | 3316a S Cobb Dr Se Ste 181, Smyrna, GA 30080-4118 | 2012-07-18 |
| 1508135450 | Thumbs Up Med-safe Supply and Delivery, LLC | Durable Medical Equipment & Medical Supplies | 405 Bridge Ln Se, Smyrna, GA 30082-3836 | 2011-12-21 |
| 1932332871 | Infinity Leg Solutions | Durable Medical Equipment & Medical Supplies | 1123 Parkview Pl Se, Smyrna, GA 30080-3483 | 2009-08-26 |
| Find all providers in SMYRNA | ||||
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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.