HOMESIDE HEALTHCARE INC (NPI# 1457423634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457423634 |
| Entity Type | Organization |
| Organization Name | HOMESIDE HEALTHCARE INC |
| Practice Address |
1315 Us 68 Southgate Plaza Maysville KY 41056-9132 |
| Mailing Address |
1315 Us 68 Maysville KY 41056-9132 |
| Practice Telephone | 6065639400 |
| Practice Fax Number | 6065644144 |
| Mailing Telephone | 6065639400 |
| Mailing Fax Number | 6065644144 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2010-04-20 |
| Authorized Official Name | MR. ANDREW W WOOD (PRESIDENT) |
| Authorized Official Telephone | 6065639400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 000000229563 | 01 | |
| KY | 90003476 | 05 | |
| OH | MEDICAID | 2324783 | 01 |
| Street Address |
1315 US 68 SOUTHGATE PLAZA |
| City | MAYSVILLE |
| State | KY |
| Zip Code | 41056-9132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762895 | Kathryn Haire | Dentist | 507 Market Place Drive, Maysville, KY 41056 | 2020-08-26 |
| 1700380375 | Tina Kinney | Nurse Practitioner | 420 W Martin Luther King Hwy, Maysville, KY 41056 | 2018-03-20 |
| 1760901227 | Judith I Marks | Home Health Aide | 211 Houston Ave, Maysville, KY 41056 | 2017-09-15 |
| 1205292299 | Mari Campbell | Physical Therapy Assistant | 479 Tucker Drive, Maysville, KY 41056 | 2016-01-07 |
| 1548545353 | Fit 'n' Trim, Ltd | Dietary Manager | 901 Us 68, Suite 200, Maysville, KY 41056 | 2011-10-13 |
| 1194962696 | Susan L Mccoy | Occupational Therapist | 300 Wood St. #231, Maysville, KY 41056 | 2009-01-21 |
| 1033321930 | Mason Co Health Dept. | Public Health or Welfare | 130 East Second Street, Maysville, KY 41056 | 2007-05-04 |
| 1477671428 | Brown & Payne Home Medical Inc | Durable Medical Equipment & Medical Supplies | 13 East 2nd Street, Maysville, KY 41056 | 2007-03-27 |
| 1760522296 | Mason County Schools | Local Education Agency (LEA) | 34 East Second and Limestone Streets, Maysville, KY 41056 | 2007-02-07 |
| 1275687337 | Buffalo Trace Childrens Advocacy Center | Voluntary or Charitable | 224 Limestone Street, Maysville, KY 41056 | 2007-01-23 |
| Find all providers in zip 41056 | ||||
| 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 |
|---|---|---|---|---|
| 1982121570 | Maverick Optical LLC | Durable Medical Equipment & Medical Supplies | 1937 Old Main St Ste 2, Maysville, KY 41056-8956 | 2017-08-24 |
| 1477671428 | Brown & Payne Home Medical Inc | Durable Medical Equipment & Medical Supplies | 13 East 2nd Street, Maysville, KY 41056 | 2007-03-27 |
| 1659399392 | Greenwell's Pharmacy | Durable Medical Equipment & Medical Supplies | 233 Market St, Maysville, KY 41056-1129 | 2006-07-18 |
| 1457378770 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 240 Wal Mart Way, Maysville, KY 41056-7516 | 2006-07-16 |
| 1710911532 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 381 Market Square Dr, Maysville, KY 41056-8721 | 2006-07-10 |
| 1801319140 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1160 Us Highway 68, Maysville, KY 41056-9125 | 2017-07-19 |
| 1285095240 | Fleming Medical Center, LLC | Durable Medical Equipment & Medical Supplies | 499 Tucker Dr, Maysville, KY 41056-9111 | 2016-03-17 |
| 1891117594 | Healing Hands Inc | Durable Medical Equipment & Medical Supplies | 1335 Southgate Plz, Maysville, KY 41056-9132 | 2014-01-15 |
| 1841547049 | National Prosthetics and Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 901 Kenton Station Dr, Room 115 & 116, Maysville, KY 41056-9609 | 2012-08-07 |
| 1699070896 | Berry Pharmacist Group LLC | Durable Medical Equipment & Medical Supplies | 912 Kenton Station Dr, Maysville, KY 41056-9658 | 2011-01-19 |
| Find all providers in MAYSVILLE | ||||
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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.