Provider Demographics
NPI:1245418904
Name:HMS INC
Entity Type:Organization
Organization Name:HMS INC
Other - Org Name:AFFORDABLE HOME MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:STACI
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:JEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:806-712-2085
Mailing Address - Street 1:12402 SLIDE RD STE 307
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-8322
Mailing Address - Country:US
Mailing Address - Phone:806-712-2085
Mailing Address - Fax:806-722-3046
Practice Address - Street 1:12402 SLIDE RD STE 307
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-8322
Practice Address - Country:US
Practice Address - Phone:806-712-2085
Practice Address - Fax:806-722-3046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6118220001Medicare NSC