Provider Demographics
NPI:1760487078
Name:ALLIED HOME MEDICAL INC
Entity Type:Organization
Organization Name:ALLIED HOME MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SEC/TREAS
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:CASKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-808-4174
Mailing Address - Street 1:PO BOX 119
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:TN
Mailing Address - Zip Code:38583-0119
Mailing Address - Country:US
Mailing Address - Phone:931-528-8102
Mailing Address - Fax:931-738-8103
Practice Address - Street 1:959 OLD COOKEVILLE RD
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:TN
Practice Address - Zip Code:38583-5616
Practice Address - Country:US
Practice Address - Phone:931-738-8102
Practice Address - Fax:931-738-8103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN506332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1138140001Medicare NSC