Provider Demographics
NPI:1932163656
Name:HOME CARE MEDICAL SYSTEMS, INC
Entity Type:Organization
Organization Name:HOME CARE MEDICAL SYSTEMS, INC
Other - Org Name:ATRIUM PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OF CORPORATION
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:W
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DPH
Authorized Official - Phone:615-824-3911
Mailing Address - Street 1:P.O. BOX 2417
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37077-2417
Mailing Address - Country:US
Mailing Address - Phone:615-824-3911
Mailing Address - Fax:615-826-6273
Practice Address - Street 1:260 WEST MAIN STREET
Practice Address - Street 2:SUITE 103
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3347
Practice Address - Country:US
Practice Address - Phone:615-824-3911
Practice Address - Fax:615-826-6273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-12
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000001873333600000X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0000001873OtherPHARMACY
TN9449398Medicaid
TN3502030Medicaid
TN4424040OtherNCPDP
TN3555686Medicaid
KY54010400Medicaid
TN3555686Medicaid
C08403030Medicare PIN