JAX HOME MEDICAL (NPI# 1548666027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548666027 |
| Entity Type | Organization |
| Organization Name | JAX HOME MEDICAL |
| Other Organization Name | SACRED GARDENS MASSAGE & SPA |
| Practice Address |
120 Mountain Ridge Rd Hickory KY 42051-8925 |
| Practice Telephone | 2707039534 |
| Mailing Telephone | 2707039534 |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2014-11-11 |
| Authorized Official Name | MRS. ANDREA NORENNE STINSON (OWNER) |
| Authorized Official Telephone | 2707039534 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Sacred Gardens Massage & Spa | Former Legal Business Name - Organization |
| Street Address |
120 MOUNTAIN RIDGE RD |
| City | HICKORY |
| State | KY |
| Zip Code | 42051-8925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932739968 | Lisa Robin Sanford | Counselor | 5460 St. Rt. 131, Hickory, KY 42051 | 2020-01-17 |
| 1194269464 | Leslye C Bransford | Nurse Practitioner | 4326 State Route 1241, Hickory, KY 42051 | 2016-12-06 |
| 1295970788 | Rachel Ann Rollins | Speech-Language Pathologist | 29 Kenneth Ln, Hickory, KY 42051 | 2008-12-11 |
| 1790966547 | Dori Ellen Sturgill | Massage Therapist | 220 Copper Hill Rd, Hickory, KY 42051-8958 | 2007-11-21 |
| 1285168484 | Cynthia Elliott | Pharmacist | 4298 State Route 408 W, Hickory, KY 42051-9201 | 2017-04-13 |
| 1164689485 | Pamela Ann Goatley | Specialist | 4989 State Route 440, Hickory, KY 42051-9222 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467960 | Sarah Grace Shugar | Doula | 6238 Dwayne Starnes Dr, Hickory, NC 28602-8959 | 2020-11-03 |
| 1558969949 | Charlene Marie Davis | Behavior Technician | 1106 38th Ave Ne, Hickory, NC 28601-7467 | 2020-10-16 |
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1669079521 | Coty Rajek | Physical Therapist | 954 2nd St Ne Spc 6, Hickory, NC 28601-3842 | 2020-10-05 |
| 1487251567 | Natalie Marie Angulo | Social Worker | 2110 Main Ave Se, Hickory, NC 28602-1405 | 2020-10-02 |
| 1649885153 | Regina Mason | Counselor | 347 15th Ave Ne, Hickory, NC 28601-2013 | 2020-09-11 |
| 1669086757 | Alex Neil Hines | Massage Therapist | 2759 North Center Street, Hickory, NC 28601 | 2020-09-04 |
| 1750995494 | Leah Kimberly Williams | Massage Therapist | 513 6th Ave Sw, Hickory, NC 28602-2814 | 2020-09-01 |
| 1528679438 | Christina Nicole Childers | Specialist/Technologist | 836 1st St Ne, Hickory, NC 28601-3763 | 2020-08-13 |
| 1699386797 | Mayla Chung | Physician Assistant | 188 Players Ridge Rd, Hickory, NC 28601-8815 | 2020-08-12 |
| Find all providers in HICKORY | ||||
| 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 |
|---|---|---|---|---|
| 1386117760 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 327 1st Ave Nw Ste P, Hickory, NC 28601-6122 | 2019-01-08 |
| 1083163943 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 36 29th Ave Ne, Hickory, NC 28601-1100 | 2016-10-03 |
| 1558744151 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2415 Springs Rd Ne, Hickory, NC 28601-3069 | 2015-07-01 |
| 1326447764 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 483 Us Highway 70 Sw, Hickory, NC 28602-5019 | 2014-08-21 |
| 1235479460 | Candace E Tomblin | Durable Medical Equipment & Medical Supplies | 2360 Springs Rd Ne, Hickory, NC 28601-3066 | 2013-02-25 |
| 1013217934 | Praxair Healthcare Services, Inc | Durable Medical Equipment & Medical Supplies | 1254 26th St Se Bldg 9, Hickory, NC 28602-7317 | 2010-10-26 |
| 1093948184 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2700 S Nc 127 Hwy, Hickory, NC 28602-9130 | 2009-08-24 |
| 1598929119 | Dme Specialists LLC | Durable Medical Equipment & Medical Supplies | 1624 Tate Blvd Se, Hickory, NC 28602-4244 | 2008-07-13 |
| 1952586364 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2427 Springs Rd Ne, Hickory, NC 28601-3069 | 2008-01-03 |
| 1467660464 | Belle Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 205 11th Ave Nw, Hickory, NC 28603-2486 | 2007-05-21 |
| Find all providers in HICKORY | ||||
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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.