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NPI Code Detail

MEDICARE: HOME CARE MEDICAL SYSTEMS INC

MEDICARE: HOME CARE MEDICAL SYSTEMS INC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336L0003XLong Term Care Pharmacy0000004372TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12159121OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659736304
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME CARE MEDICAL SYSTEMS INC
Provider Business Mailing Address
First Line : 260 W MAIN ST
Second Line : SUITE 217
City : HENDERSONVILLE
State : TN
Zip : 37075-3347
Country : US
Telephone Number : 800-831-1159
Fax Number : 877-741-8964
Provider Business Practice Location Address
First Line : 2565 HORIZON LAKE DR STE 113
Second Line :
City : MEMPHIS
State : TN
Zip : 38133-8113
Country : US
Telephone Number : 800-831-1159
Fax Number : 855-232-7017
Authorized Official
Title or Position : MANAGER
Name : FRANK MOORE
Credential :
Telephone Number : 800-831-1159
Provider Enumeration Date : 12/23/2015
Last Update Date : 04/06/2016

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Directions to “HOME CARE MEDICAL SYSTEMS INC ” Practice Location

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