Provider Demographics
NPI:1700072626
Name:AWESOME MEDICAL EQUIPMENT AND HEALTHCARE MANAGEMENT SERVICES INC.
Entity Type:Organization
Organization Name:AWESOME MEDICAL EQUIPMENT AND HEALTHCARE MANAGEMENT SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ONEKKI
Authorized Official - Middle Name:CROPPER
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA/MPA
Authorized Official - Phone:615-507-8722
Mailing Address - Street 1:1304 LYNDSEY RIDGE DR.
Mailing Address - Street 2:
Mailing Address - City:LA VERGNE
Mailing Address - State:TN
Mailing Address - Zip Code:37086-3192
Mailing Address - Country:US
Mailing Address - Phone:615-507-8722
Mailing Address - Fax:
Practice Address - Street 1:8030 CROWDER BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-1063
Practice Address - Country:US
Practice Address - Phone:615-246-2119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies