Provider Demographics
NPI:1669442018
Name:HOME MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:HOME MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:P
Authorized Official - Last Name:JARNAGIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-636-1345
Mailing Address - Street 1:690 W ANDREW JOHNSON HWY
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37745-1291
Mailing Address - Country:US
Mailing Address - Phone:423-636-1345
Mailing Address - Fax:423-636-1381
Practice Address - Street 1:690 W ANDREW JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-1291
Practice Address - Country:US
Practice Address - Phone:423-636-1345
Practice Address - Fax:423-636-1381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-26
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000394332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3552588Medicaid
TN002004372OtherBLUECROSS BLUESHIELD
TN3552588Medicaid