Provider Demographics
NPI:1316278062
Name:A & A HOME HEALTH EQUIPMENT, INC.
Entity type:Organization
Organization Name:A & A HOME HEALTH EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:TRUMAN
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:ATP, CRTS
Authorized Official - Phone:662-332-5656
Mailing Address - Street 1:3080 E REED RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38703-9410
Mailing Address - Country:US
Mailing Address - Phone:662-332-5656
Mailing Address - Fax:662-612-4399
Practice Address - Street 1:3080 E REED RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MS
Practice Address - Zip Code:38703-9410
Practice Address - Country:US
Practice Address - Phone:662-332-5656
Practice Address - Fax:662-612-4399
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A & A HOME HEALTH EQUIPMENT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-01-20
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS09094/2.63336S0011X
MS08057 / 11.1332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS005827001Medicaid
AL122329Medicaid
MS05827001Medicaid