MOUNTAIN HOME CARE EQUIPMENT, INC


Address: 200 Industrial Blvd Ste 113, Ellijay, GA 30540-3721
Phone: 7066354494

MOUNTAIN HOME CARE EQUIPMENT, INC (NPI# 1962536219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962536219
Entity Type Organization
Organization Name MOUNTAIN HOME CARE EQUIPMENT, INC
Practice Address 200 Industrial Blvd Ste 113
Ellijay
GA 30540-3721
Mailing Address Po Box 675
Ellijay
GA 30540-0009
Practice Telephone 7066354494
Practice Fax Number 7066353910
Mailing Telephone 7066354494
Mailing Fax Number 7066353910
Enumeration Date 2007-03-16
Last Update Date 2020-08-22
Authorized Official Name MRS. PAM RHODES (CO-OWNER)
Authorized Official Telephone 7066354494
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335E00000X Prosthetic/Orthotic Supplier Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
GA 00319503A 05
GA NPI 1669435715 01

Office Location

Street Address 200 INDUSTRIAL BLVD STE 113
City ELLIJAY
State GA
Zip Code 30540-3721

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548829724 Jd Medical Services Inc Durable Medical Equipment & Medical Supplies 200 Industrial Blvd Ste 113, Ellijay, GA 30540-3721 2019-06-11

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 335E00000X
Grouping Suppliers
Classification Prosthetic/Orthotic Supplier

Taxonomy Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548860810 Crowns of Love Inc Prosthetic/Orthotic Supplier 707 Park Ave Ne Apt 1382, Atlanta, GA 30326-3410 2020-10-27
1447860150 Shadae Renee Medical Wigs Prosthetic/Orthotic Supplier 10719 Alpharetta Hwy # 1792, Roswell, GA 30076-2432 2020-08-06
1114535432 Beauty Zone2 Medical Wigs Prosthetic/Orthotic Supplier 252 Keys Ferry St, Mcdonough, GA 30253-3342 2020-07-22
1619594389 Legally Laced Prosthetic/Orthotic Supplier 1000 Corporate Pointe Ste 214, Warner Robins, GA 31088-3440 2020-06-29
1093332009 Jazzy Wigs, Rx Prosthetic/Orthotic Supplier 59 Urey Emerson Dr, Richland, GA 31825-6636 2020-06-25
1174147938 Salon Asya Mignon LLC Prosthetic/Orthotic Supplier 4290 Memorial Dr Ste B1, Decatur, GA 30032-1225 2020-06-07
1023630928 Michelles Beauty Bar Prosthetic/Orthotic Supplier 3662 Druid Oaks Dr, Valdosta, GA 31605-6542 2020-05-13
1366063596 Stylish Styles By Tee Prosthetic/Orthotic Supplier 6595 Roswell Rd Ste G1169, Atlanta, GA 30328-3152 2020-04-28
1518503432 Regina Murff-love Prosthetic/Orthotic Supplier 341 Indus Ln, Lawrenceville, GA 30044-3835 2019-11-26
1417508995 Priscilla Denise Brown Prosthetic/Orthotic Supplier 38200 3rd Ave, Fort Gordon, GA 30905 2019-09-25
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Competitor

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City ELLIJAY
Zip Code 30540

Improve Information

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Dataset Information

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.

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