MEDICARE: MEDICAL NECESSITIES & SERVICES LLC

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	00000002006	TN
2	332B00000X	Durable Medical Equipment & Medical Supplies	0000000415	TN
3	332BX2000X	Oxygen Equipment & Supplies (DME)	415	TN

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4160545	OTHER		BLUE CROSS BLUE SHEILD OF TN

NPI Number	:	1427132125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL NECESSITIES & SERVICES LLC

Provider Business Mailing Address
First Line	:	3325 BARTLETT BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32811-6428
Country	:	US
Telephone Number	:	407-206-0040
Fax Number	:	407-206-0010

Provider Business Practice Location Address
First Line	:	1811 CHARLOTTE AVE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2104
Country	:	US
Telephone Number	:	615-515-3669
Fax Number	:	615-515-3649

Authorized Official
Title or Position	:	CEO/ PRESIDENT
Name	:	MR. STEPHEN GRIGGS
Credential	:
Telephone Number	:	407-206-0040

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	11/30/2022

1811 CHARLOTTE AVE
NASHVILLE, TN
37203-2104

Practice Phone: 615-912-0641
Practice Fax: