Provider Demographics
NPI:1285935072
Name:HOMESUPPLY.NET
Entity type:Organization
Organization Name:HOMESUPPLY.NET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:D
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-244-1070
Mailing Address - Street 1:PO BOX 787
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:TX
Mailing Address - Zip Code:75551-0787
Mailing Address - Country:US
Mailing Address - Phone:903-244-1070
Mailing Address - Fax:903-796-4350
Practice Address - Street 1:702 HOLLY ST STE B
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:TX
Practice Address - Zip Code:75551-2308
Practice Address - Country:US
Practice Address - Phone:903-796-1877
Practice Address - Fax:903-796-4350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-09
Last Update Date:2012-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies