The Company Store
LBN: Central Georgia Homecare Services, Inc
The Company Store is an health care organization with primary practice located at 800 1St Street Ste 100, Macon GA 31201-8395. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Central Georgia Homecare Services, Inc can be contacted via phone (478) 633-5700, or through Perry, Rhonda S via phone (478) 633-1452.
Contact Information
Primary practice address
800 1St Street Ste 100
Macon GA 31201-8395
Phone: (478) 633-5700
Fax: (478) 784-3574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 20012623968 | Georgia |
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | PHRE 008012 | Georgia |
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | PHRE 008012 | Georgia |
Profile Details
| NPI number | 1811912249 |
|---|---|
| LBN Legal business name | Central Georgia Homecare Services, Inc |
| DBA Doing business as | The Company Store |
| Authorized official | Perry, Rhonda S |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | May 14th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811912249 | NPPES |
| Georgia | MEDICAID | 000826042B | |
| Georgia | MEDICAID | 000826075B | |
| Georgia | MEDICAID | 000826075A |
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