TAYLORMADE HEATH SOLUTIONS LLC, (NPI# 1891204574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891204574 |
| Entity Type | Organization |
| Organization Name | TAYLORMADE HEATH SOLUTIONS LLC, |
| Other Organization Name | JASPER COUNTY MEDICAL SUPPLY |
| Practice Address |
306 Main Street Heidelberg MS 39439-3943 |
| Mailing Address |
Po Box 320301 Flowood MS 39232-0301 |
| Practice Telephone | 6015025458 |
| Mailing Telephone | 6015025458 |
| Mailing Fax Number | 8775349283 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | DIETRICH T TAYLOR (LEAD CONSULTANT/OWNER) |
| Authorized Official Telephone | 6015025458 |
| Authorized Official Credential | RN,CDE |
| 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 |
|---|---|
| Jasper County Medical Supply | Doing Business As Name - Organization |
| Street Address |
306 MAIN STREET |
| City | HEIDELBERG |
| State | MS |
| Zip Code | 39439-3943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083074959 | Jfmc Heidelberg, LLC | Clinic/Center | 1208 Academy Dr, Heidelberg, MS 39439 | 2016-03-04 |
| 1295871259 | Joyce Denise Barker | Nurse Practitioner | 309 Pine Ave, Heidelberg, MS 39439 | 2007-01-29 |
| 1417046574 | Hattiesburg Clinic Pa | Family Medicine | 2013 North Pine, Heidelberg, MS 39439 | 2006-10-12 |
| 1255354304 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 2005 North Pine Ave., Heidelberg, MS 39439 | 2006-07-26 |
| 1255521480 | Outreach Health Services,inc. | Health Maintenance Organization | 309 Pine Ave, Heidelberg, MS 39439 | 2007-07-25 |
| 1114577400 | Caldonia Livingston Satcher | Technician | 3840 Highway 528, Heidelberg, MS 39439-3370 | 2019-09-18 |
| 1346794120 | Family Home Care, LLC | Home Health | 309 Bay St, Heidelberg, MS 39439-3547 | 2016-08-09 |
| 1013328244 | Mississippi State Department of Health | Public Health or Welfare | 309 Bay Street, Heidelberg, MS 39439-3547 | 2014-05-09 |
| 1639532112 | A Touch of Heaven, LLC | Home Health | 227b County Road 371, Heidelberg, MS 39439-4991 | 2016-04-01 |
| 1215353867 | Southern Hospitality Home Care LLC | Home Health | 84 County Road 3771, Heidelberg, MS 39439-5016 | 2014-03-06 |
| Find all providers in zip 39439 | ||||
| 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 |
|---|---|---|---|---|
| 1255354304 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 2005 North Pine Ave., Heidelberg, MS 39439 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799982 | The Medical Store, Inc. | Durable Medical Equipment & Medical Supplies | 210 Canal Pl, Philadelphia, MS 39350-8909 | 2020-08-03 |
| 1720605215 | M&s Medical | Durable Medical Equipment & Medical Supplies | 181 Highway 334, Oxford, MS 38655-9402 | 2020-06-30 |
| 1972126407 | Reliant Home Medical Supplies and Equipment LLC | Durable Medical Equipment & Medical Supplies | 134 E Commerce St, Aberdeen, MS 39730-2710 | 2020-05-19 |
| 1124648860 | Orthospine Dme, LLC | Durable Medical Equipment & Medical Supplies | 5315 Old Highway 11 Ste 4, Hattiesburg, MS 39402-6224 | 2020-04-23 |
| 1891325015 | Joseph Anthony Coursey | Durable Medical Equipment & Medical Supplies | 2111 28th St Ste C1, Gulfport, MS 39501-4934 | 2020-01-16 |
| 1831732593 | Teketra Evans | Durable Medical Equipment & Medical Supplies | 39 E Zion Rd, Wiggins, MS 39577-5000 | 2019-10-24 |
| 1619535515 | Magnolia Drugs Inc | Durable Medical Equipment & Medical Supplies | 1757 Highway 178 West, Suite B, Myrtle, MS 38650 | 2019-06-05 |
| 1952864266 | Roy C Patton | Durable Medical Equipment & Medical Supplies | 305 Clinton Blvd, Clinton, MS 39056-5217 | 2019-04-12 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1881150324 | Coastal Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 3417 Hardy St, Hattiesburg, MS 39402-1502 | 2019-02-20 |
| Find all providers with the same taxonomy | ||||
| City | HEIDELBERG |
| Zip Code | 39439 |
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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.