Provider Demographics
NPI:1821236431
Name:DME OF AMERICA, L.L.C.
Entity Type:Organization
Organization Name:DME OF AMERICA, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-254-3135
Mailing Address - Street 1:285 TEMPLE AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-1396
Mailing Address - Country:US
Mailing Address - Phone:404-254-3135
Mailing Address - Fax:404-254-3137
Practice Address - Street 1:285 TEMPLE AVE
Practice Address - Street 2:SUITE D
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-1396
Practice Address - Country:US
Practice Address - Phone:404-254-3135
Practice Address - Fax:404-254-3137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-04
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA332B00000X332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA6314980001Medicare NSC