Professional Medical Home Healthcare Inc.

LBN: Professional Medical Home Healthcare Inc.
Professional Medical Home Healthcare Inc. is an health care organization with primary practice located at 4859C Memorial Dr , Stone Mountain GA 30083-4175. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Professional Medical Home Healthcare Inc. can be contacted via phone (404) 292-9190, or through Pernell, William via phone (404) 292-9190.

Contact Information

Primary practice address
4859C Memorial Dr Stone Mountain GA 30083-4175
Phone: (404) 292-9190
Fax: (404) 508-9225
Website:
Map and Directions
Authorized official contact:
Name: Pernell, William
Phone: (404) 292-9190

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1942287131
LBN Legal business name Professional Medical Home Healthcare Inc.
DBA Doing business as
Authorized official Pernell, William
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2005
Last updated Nov 2nd, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942287131 NPPES
Georgia MEDICAID 00612818A
Georgia MEDICAID 00814888A
Georgia MEDICAID 00814888B

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