Healthcare Provider Details

I. General information

NPI: 1003624362
Provider Name (Legal Business Name): TOS HOME MEDICAL EQUIPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2024
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 HERSCHEL BESS BLVD STE 2
POPLAR BLUFF MO
63901-3073
US

IV. Provider business mailing address

1125 HERSCHEL BESS BLVD STE 2
POPLAR BLUFF MO
63901-3073
US

V. Phone/Fax

Practice location:
  • Phone: 573-785-4300
  • Fax: 573-785-4303
Mailing address:
  • Phone: 573-785-4300
  • Fax: 573-785-4303

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: JUSTIN BEAIRD
Title or Position: OWNER
Credential:
Phone: 573-840-4039