Healthcare Provider Details

I. General information

NPI: 1891896528
Provider Name (Legal Business Name): HOMEFRONT AIR & MEDICAL SUPPLIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3024 N MARKET AVE STE A
FAYETTEVILLE AR
72703-3566
US

IV. Provider business mailing address

3024 N MARKET AVE STE A
FAYETTEVILLE AR
72703-3566
US

V. Phone/Fax

Practice location:
  • Phone: 479-444-0259
  • Fax: 479-582-0296
Mailing address:
  • Phone: 479-444-0259
  • Fax: 479-582-0296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JAMES MICHAEL LOFTIS
Title or Position: CEO/PRESIDENT
Credential:
Phone: 865-415-2740