MEDICARE: HOME MEDICAL, 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
1	332BC3200X	Customized Equipment (DME)	MG00734	AR
2	332BX2000X	Oxygen Equipment & Supplies (DME)	MG00734	AR
3	332B00000X	Durable Medical Equipment & Medical Supplies	MG00734	AR

Other Identifiers

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

General Provider Information

NPI Number	:	1992764658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME MEDICAL, INC

Provider Business Mailing Address
First Line	:	7197 SHERIDAN RD STE 110
Second Line	:
City	:	WHITE HALL
State	:	AR
Zip	:	71602-3261
Country	:	US
Telephone Number	:	870-534-4944
Fax Number	:	870-534-9199

Provider Business Practice Location Address
First Line	:	7197 SHERIDAN RD STE 110
Second Line	:
City	:	WHITE HALL
State	:	AR
Zip	:	71602-3261
Country	:	US
Telephone Number	:	870-534-4944
Fax Number	:	870-534-9199

Authorized Official
Title or Position	:	OWNER
Name	:	KEVIN B. WILCOX
Credential	:
Telephone Number	:	870-534-4944

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	09/15/2025

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Directions to “HOME MEDICAL, INC ” Practice Location

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