Provider Demographics
NPI:1659736304
Name:HOME CARE MEDICAL SYSTEMS INC
Entity Type:Organization
Organization Name:HOME CARE MEDICAL SYSTEMS INC
Other - Org Name:ATRIUM PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-831-1159
Mailing Address - Street 1:260 W MAIN ST
Mailing Address - Street 2:SUITE 217
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3347
Mailing Address - Country:US
Mailing Address - Phone:800-831-1159
Mailing Address - Fax:877-741-8964
Practice Address - Street 1:2565 HORIZON LAKE DR STE 113
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38133-8113
Practice Address - Country:US
Practice Address - Phone:800-831-1159
Practice Address - Fax:855-232-7017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-23
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TN00000043723336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2159121OtherPK
TN9449398Medicaid
MS09987541Medicaid