Healthcare Provider Details

I. General information

NPI: 1679287445
Provider Name (Legal Business Name): M.R.S. HOMECARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2023
Last Update Date: 01/06/2023
Certification Date: 01/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1255 JOHNSON FERRY RD STE 10
MARIETTA GA
30068-2728
US

IV. Provider business mailing address

PO BOX 568
ALBANY GA
31702-0568
US

V. Phone/Fax

Practice location:
  • Phone: 678-265-8450
  • Fax:
Mailing address:
  • Phone: 229-439-2403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES WALL
Title or Position: CHIEF OPERATING OFFICER - CPAP EXPR
Credential:
Phone: 229-402-3627