Provider Demographics
NPI:1972655223
Name:HOME-MED EQUIPMENT INC
Entity Type:Organization
Organization Name:HOME-MED EQUIPMENT INC
Other - Org Name:HOME-MED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:V. PRES. / SEC
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:W
Authorized Official - Last Name:ODOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-328-6865
Mailing Address - Street 1:199 BROOKMOORE DR.
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-2024
Mailing Address - Country:US
Mailing Address - Phone:662-328-6865
Mailing Address - Fax:662-328-6896
Practice Address - Street 1:199 BROOKMOORE DR.
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-2024
Practice Address - Country:US
Practice Address - Phone:662-328-6865
Practice Address - Fax:662-328-6896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS05229-11.1332B00000X
MS05229/11.1332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00440884Medicaid
4247610001Medicare NSC