Provider Demographics
NPI:1073058012
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:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:T
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:
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 1:17 COLLINS INDUSTRIAL PLACE
Practice Address - Street 2:SUITE A
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72113-7537
Practice Address - Country:US
Practice Address - Phone:501-712-4044
Practice Address - Fax:501-508-4288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-29
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1073058012332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR219145716Medicaid