Provider Demographics
NPI:1780618785
Name:A&A HOME HEALTH EQUIPMENT, INC.
Entity type:Organization
Organization Name:A&A HOME HEALTH EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:T
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-332-5656
Mailing Address - Street 1:3080 E REED RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38703-9410
Mailing Address - Country:US
Mailing Address - Phone:662-332-5656
Mailing Address - Fax:662-612-4399
Practice Address - Street 1:221 HIGHWAY 1 S
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MS
Practice Address - Zip Code:38701-4304
Practice Address - Country:US
Practice Address - Phone:662-332-0772
Practice Address - Fax:662-612-4682
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A&A HOME HEALTH EQUIPMENT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-10
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS01803/11.1332BP3500X, 332BX2000X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS000040695Medicaid
LA1904236Medicaid
AR106729716Medicaid
AR188801737Medicaid