Healthcare Provider Details

I. General information

NPI: 1477564375
Provider Name (Legal Business Name): HOME THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 02/17/2021
Certification Date: 02/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 E MAIN ST
ADAMSVILLE TN
38310-2315
US

IV. Provider business mailing address

119 W MAIN ST
ADAMSVILLE TN
38310-4961
US

V. Phone/Fax

Practice location:
  • Phone: 731-632-9820
  • Fax: 866-430-7946
Mailing address:
  • Phone: 731-632-9820
  • Fax: 866-430-7946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number0000000939
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number0000000939
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0000000939
License Number StateTN

VIII. Authorized Official

Name: LORRAINE BUCKNER
Title or Position: PRESIDENT
Credential:
Phone: 731-632-9820