Healthcare Provider Details

I. General information

NPI: 1427180744
Provider Name (Legal Business Name): SOUTHWESTERN HOMECARE & MEDICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 03/10/2023
Certification Date: 03/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 N MAGNOLIA ST
ALBANY GA
31707-4266
US

IV. Provider business mailing address

411 LYNN LN
ALBANY GA
31705-3695
US

V. Phone/Fax

Practice location:
  • Phone: 229-889-1598
  • Fax: 229-888-3558
Mailing address:
  • Phone: 404-844-9975
  • Fax: 888-687-4829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number047-R-0036
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. GEORGE ECHEBELEM
Title or Position: OPERATING OFFICER
Credential:
Phone: 404-844-9975