Provider Demographics
NPI:1285703470
Name:HOME MEDICAL CARE INC
Entity type:Organization
Organization Name:HOME MEDICAL CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REIMBURSEMENT MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTIE
Authorized Official - Middle Name:SMITH
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-296-5000
Mailing Address - Street 1:PO BOX 440
Mailing Address - Street 2:113 WEST MAIN STREET
Mailing Address - City:WAVERLY
Mailing Address - State:TN
Mailing Address - Zip Code:37185
Mailing Address - Country:US
Mailing Address - Phone:931-296-5000
Mailing Address - Fax:931-296-5942
Practice Address - Street 1:120 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:TN
Practice Address - Zip Code:37185
Practice Address - Country:US
Practice Address - Phone:931-296-5000
Practice Address - Fax:931-296-5942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000399332BX2000X
TN0000000363332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3544723Medicaid
TN0327350001Medicare NSC
MS0327350002Medicare NSC
TN3544723Medicaid