MOUNTAIN HOME CARE EQUIPMENT, INC. (NPI# 1669435715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669435715 |
Entity Type | Organization |
Organization Name | MOUNTAIN HOME CARE EQUIPMENT, INC. |
Practice Address |
200 Industrial Blvd Suite 113 Ellijay GA 30540-3722 |
Mailing Address |
Po Box 675 Ellijay GA 30540-0009 |
Practice Telephone | 7066354494 |
Practice Fax Number | 7066353910 |
Mailing Telephone | 7066354494 |
Enumeration Date | 2006-04-10 |
Last Update Date | 2007-07-24 |
Authorized Official Name | MR. JOHN RHODES (OWNER) |
Authorized Official Telephone | 7066354494 |
Authorized Official Credential | CRRT/RRT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
332BX2000X | GA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00649129A | 05 | |
GA | 00319503A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306036389 | Mountain Home Care Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 4147 E First St, Blue Ridge, GA 30513-4527 | 2007-07-26 |
Street Address |
200 INDUSTRIAL BLVD SUITE 113 |
City | ELLIJAY |
State | GA |
Zip Code | 30540-3722 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053638205 | Mountain Top Primary Care Medical Associates | Clinic/Center | 200 Industrial Blvd, Suite 114, Ellijay, GA 30540-3722 | 2010-04-28 |
1356400105 | Ronald Craig Clark | Chiropractor | 200 Industrial Blvd, Suite 108, Ellijay, GA 30540-3722 | 2006-12-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760929517 | Sandi Lynn Harris | Pharmacist | 192 1st St, East Ellijay, GA 30540 | 2017-01-31 |
1194028688 | Heartlite Hospice Ellijay, Inc. | Hospice Care, Community Based | 163 Dalton Street, East Ellijay, GA 30540 | 2010-12-06 |
1972816874 | Nicole Penland Bond | Nurse Practitioner | 174 Highland Crossing East, East Ellijay, GA 30540 | 2010-07-20 |
1689994477 | Immediate Medcare, LLC | Clinic/Center | 174 Highland Crossing South, East Ellijay, GA 30540 | 2010-06-03 |
1316274830 | Huffs Select Care Clinic PC | Clinic/Center | 136-a Industrial Blvd, Ellijay, GA 30540 | 2009-11-04 |
1598924615 | Hospice Advantage, LLC. | Hospice Care, Community Based | 583 Highland Xing, Suite 120, East Ellijay, GA 30540 | 2008-06-04 |
1083891196 | Roy Elie Abrahamian | Internal Medicine | 309 Highland Pkwy Ste 200, East Ellijay, GA 30540 | 2008-01-31 |
1285817213 | Quality Respi-care Inc | Durable Medical Equipment & Medical Supplies | 97 Hefner St Ste 102, East Ellijay, GA 30540 | 2007-12-13 |
1275738163 | Jennifer Moss Houle | Technician, Other | 7 Depot Street, Ellijay, GA 30540 | 2007-06-19 |
1265633697 | Alicia S Lovelace | Specialist | 630 Blazing Star Rd, Ellijay, GA 30540 | 2007-05-31 |
Find all providers in zip 30540 |
Taxonomy Code | 332BX2000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Oxygen Equipment & Supplies |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497870539 | Georgia Oxygen Pharmacy | Durable Medical Equipment & Medical Supplies | 9 Russell Dr, Ste 101, Ellijay, GA 30540-4001 | 2007-03-20 |
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 |
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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.