=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013069319
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOME OXYGEN & MEDICAL EQUIPMENT, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/17/2007
-----------------------------------------------------
Last Update Date | 06/29/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 136 E NORTHSIDE DR
-----------------------------------------------------
City | CLINTON
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39056-3440
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 601-924-1729
-----------------------------------------------------
Fax | 601-825-4020
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1395
-----------------------------------------------------
City | CLINTON
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39060-1395
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 601-924-1729
-----------------------------------------------------
Fax | 601-825-4020
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SECRETARY TREASURER
-----------------------------------------------------
Name | MRS. PAULA W MILEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 601-924-1729
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MS
-----------------------------------------------------