STREET HOME MEDICAL, INC (NPI# 1467497347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467497347 |
| Entity Type | Organization |
| Organization Name | STREET HOME MEDICAL, INC |
| Practice Address |
1544 Watson Blvd Warner Robins GA 31093-3432 |
| Practice Telephone | 4789222889 |
| Practice Fax Number | 4789229120 |
| Mailing Telephone | 4789222889 |
| Mailing Fax Number | 4789229120 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2012-05-08 |
| Authorized Official Name | MR. RONALD SCOTT STREET (C.E.O.) |
| Authorized Official Telephone | 4789222889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
62133 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000545982A | 05 |
| Street Address |
1544 WATSON BLVD |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31093-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294908 | Tej R Patel | Pharmacist | 1544 Watson Blvd, Warner Robins, GA 31093-3432 | 2020-10-28 |
| 1710501010 | Unadilla Drug Company Inc | Pharmacy | 1544 Watson Blvd, Warner Robins, GA 31093-3432 | 2020-06-02 |
| 1356610216 | Vinh Tom Tran | Pharmacist | 1544 Watson Blvd, Warner Robins, GA 31093-3432 | 2011-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922654102 | Hui Bostian | Technician | 402 Pinecrest Dr., Warner Robins, GA 31093 | 2019-08-14 |
| 1457914616 | Janvi Hemantkumar Wadiwala | Student in an Organized Health Care Education/Training Program | 233 North Houston Rd, Suite 140e, Warner Robins, GA 31093 | 2019-04-15 |
| 1477033124 | Urological Health Center, PC | Urology | 1770 Watson Boulevard, Warner Robins, GA 31093 | 2018-08-21 |
| 1477043719 | Revealing Strength Counseling, LLC | Counselor | 2762 Watson Blvd, Warner Robins, GA 31093 | 2018-05-11 |
| 1265930069 | Alma J Ellington | Counselor | 306 North Davis Drive, Suite B Room 4, Warner Robins, GA 31093 | 2018-01-26 |
| 1841707668 | Guiding Light Healthcare Services | Family Medicine | 306 N. Davis Dr., Suite B, Warner Robins, GA 31093 | 2018-01-02 |
| 1083143416 | Rosa C Gilbert | Counselor | 303 Mimosa, Warner Robins, GA 31093 | 2017-06-08 |
| 1982141545 | Ariel Young | Psychologist | 104 Stanton Circle, Warner Robins, GA 31093 | 2017-01-20 |
| 1801259437 | Gramps 'n' Grannies, Inc. | Assisted Living Facility | 502 North Huston Rd., Warner Robins, GA 31093 | 2016-03-31 |
| 1710346903 | Brenda Marie Warren | Marriage & Family Therapist | 106-b Olympia Dr., Warner Robins, GA 31093 | 2016-02-16 |
| Find all providers in zip 31093 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902179468 | Life Line Home Care Inc | Durable Medical Equipment & Medical Supplies | 1302a Watson Blvd, Warner Robins, GA 31093-3436 | 2012-02-14 |
| 1386973113 | Houston Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 96 Tommy Stalnaker Dr Ste B, Warner Robins, GA 31088-9179 | 2009-12-07 |
| 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 |
| 1306301841 | Altamaha Dme, Inc | Durable Medical Equipment & Medical Supplies | 1557 Pooler Parkway, Suite 300, Pooler, GA 31322 | 2019-02-08 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WARNER ROBINS |
| Zip Code | 31093 |
Please comment or provide details below to improve the information on STREET HOME MEDICAL, INC.
| 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.