Home Base Health Services

LBN: Ty Cobb Healthcare System, Inc.
Home Base Health Services is an health care organization with primary practice located at 29 Clear Creek Pkwy , Lavonia GA 30553-4172. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Ty Cobb Healthcare System, Inc. can be contacted via phone (877) 485-5718, or through Mcree, Matt R via phone (706) 356-7456.

Contact Information

Primary practice address
29 Clear Creek Pkwy Lavonia GA 30553-4172
Phone: (877) 485-5718
Fax: (706) 356-7403
Website:
Map and Directions
Authorized official contact:
Name: Mcree, Matt R
Phone: (706) 356-7456

Health care specialties

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

Profile Details

NPI number 1215959341
LBN Legal business name Ty Cobb Healthcare System, Inc.
DBA Doing business as Home Base Health Services
Authorized official Mcree, Matt R
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Aug 14th, 2014 - about 10 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 1215959341 NPPES
Georgia Other 52448230 BCBS OF GEORGIA
Georgia MEDICAID 000059562C BCBS OF GEORGIA

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