Provider Demographics
NPI:1013603224
Name:A & R HOME MEDICAL EQUIPMENT,LLC
Entity Type:Organization
Organization Name:A & R HOME MEDICAL EQUIPMENT,LLC
Other - Org Name:A & R HOME MEDICAL EQUIPMENT,LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:LRT
Authorized Official - Phone:256-608-8972
Mailing Address - Street 1:955 COUNTY ROAD 255
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35740-7425
Mailing Address - Country:US
Mailing Address - Phone:562-608-8972
Mailing Address - Fax:
Practice Address - Street 1:219 S CEDAR AVE
Practice Address - Street 2:
Practice Address - City:SOUTH PITTSBURG
Practice Address - State:TN
Practice Address - Zip Code:37380-1303
Practice Address - Country:US
Practice Address - Phone:256-608-8972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-12
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies