Provider Demographics
NPI:1851388789
Name:HOME MEDICAL CARE COMPANY
Entity Type:Organization
Organization Name:HOME MEDICAL CARE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:BENEFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-291-0900
Mailing Address - Street 1:PO BOX 1248
Mailing Address - Street 2:
Mailing Address - City:PHENIX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36868-1248
Mailing Address - Country:US
Mailing Address - Phone:334-291-0900
Mailing Address - Fax:334-291-0066
Practice Address - Street 1:1709 CRAWFORD RD
Practice Address - Street 2:
Practice Address - City:PHENIX CITY
Practice Address - State:AL
Practice Address - Zip Code:36867-4230
Practice Address - Country:US
Practice Address - Phone:334-291-0900
Practice Address - Fax:334-291-0066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51056431OtherBLUE CROSS & BLUE SHIELD
AL0219880001Medicare ID - Type UnspecifiedPROVIDER NUMBER