Provider Demographics
NPI:1669598488
Name:HOME MEDICAL SERVICES
Entity type:Organization
Organization Name:HOME MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:NERON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-363-0500
Mailing Address - Street 1:PO BOX 1633
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39566-1633
Mailing Address - Country:US
Mailing Address - Phone:601-795-6863
Mailing Address - Fax:601-795-6864
Practice Address - Street 1:1403 S MAIN ST
Practice Address - Street 2:SUITE B2
Practice Address - City:POPLARVILLE
Practice Address - State:MS
Practice Address - Zip Code:39470-3394
Practice Address - Country:US
Practice Address - Phone:601-795-6863
Practice Address - Fax:601-795-6864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0440617Medicaid
LA1624691Medicaid
MS0440617Medicaid