Handicap Of Jackson Llc in Jackson - Durable Medical Equipment & Medical Supplies
Handicap Of Jackson Llc - NPI 1124025465
Handicap Of Jackson Llc is a Durable Medical Equipment & Medical Supplies in Jackson, Tennessee. Handicap Of Jackson Llc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Handicap Of Jackson Llc is 1124025465. The last update date is 2023-01-25.
Handicap Of Jackson Llc's current location address is 2088 Hollywood Dr, Jackson, Tennessee. You can contact this provider via phone number 7316606116 and fax number 7316606252. The mailing address for Handicap Of Jackson Llc is 2088 Hollywood Dr, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Handicap Of Jackson Llc |
|---|---|
| Address | 2088 Hollywood Dr, Jackson, Tennessee |
| Phone Number | 7316606116 |
| Fax Number | 7316606252 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Jones Ty |
| Credentials | ATP |
| Telephone Number | 7316606116 |
NPI Number Detail
| NPI Number | 1124025465 |
|---|---|
| Provider Enumeration Date | 2005-07-01 |
| Last Updated Date | 2023-01-25 |
Provider Mailing Address Detail
| Address | 2088 Hollywood Dr |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 383054380 |
| Phone Number | 7316606116 |
| Fax Number | 7316606252 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | 748 |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1455080 | TN | -- | |
| 4049264 | TN | BCBS TN |
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What is the unique identification code assigned to Handicap Of Jackson Llc by the Centers for Medicare & Medicaid Services?
The Handicap Of Jackson Llc has been issued the NPI (National Provider Identifier) 1124025465. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Handicap Of Jackson Llc located?
The Handicap Of Jackson Llc is located at 2088 Hollywood Dr, Jackson, TN 383054380.
What is the Handicap Of Jackson Llc's area of specialization and corresponding taxonomy classification?
The Handicap Of Jackson Llc's specialty field is Durable Medical Equipment & Medical Supplies, and it falls under the taxonomy code 332B00000X, which categorizes healthcare providers based on their specialties.
On what date did the Handicap Of Jackson Llc receive its 1124025465 assignment from the Centers for Medicare & Medicaid Services?
The Handicap Of Jackson Llc was assigned its 1124025465 by the Centers for Medicare & Medicaid Services on 2005-07-01.
When was the Handicap Of Jackson Llc's information last updated?
The Handicap Of Jackson Llc's information was last updated on 2023-01-25.