Provider Demographics
NPI:1699949438
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:
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 1:113 W MAIN ST
Mailing Address - Street 2:PO BOX 440
Mailing Address - City:WAVERLY
Mailing Address - State:TN
Mailing Address - Zip Code:37185-1508
Mailing Address - Country:US
Mailing Address - Phone:931-296-5000
Mailing Address - Fax:931-296-5942
Practice Address - Street 1:304 HIGHLAND BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-4624
Practice Address - Country:US
Practice Address - Phone:601-442-6493
Practice Address - Fax:601-445-0999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS04010/11.1332BX2000X
MS332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00040317Medicaid
MS00040317Medicaid