Provider Demographics
NPI:1568623759
Name:A PLUS HOME MEDICAL & RESPIRATORY EQUIPMENT
Entity Type:Organization
Organization Name:A PLUS HOME MEDICAL & RESPIRATORY EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANISSA
Authorized Official - Middle Name:EMANUEL
Authorized Official - Last Name:BULLARD
Authorized Official - Suffix:
Authorized Official - Credentials:PA, MHS, LPN
Authorized Official - Phone:910-735-0500
Mailing Address - Street 1:1548 NC HIGHWAY 211 W
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28360-3696
Mailing Address - Country:US
Mailing Address - Phone:910-735-0500
Mailing Address - Fax:910-735-0200
Practice Address - Street 1:1548 NC HIGHWAY 211 W
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28360-3696
Practice Address - Country:US
Practice Address - Phone:910-735-0500
Practice Address - Fax:910-735-0200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-19
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00982332B00000X, 332BC3200X, 332BP3500X, 333300000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No333300000XSuppliersEmergency Response System Companies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3419206Medicaid
NC7705295Medicaid
NC7705295Medicaid