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HANDICAP OF JACKSON LLC , NPI 1124025465

Durable Medical Equipment & Medical Supplies in JACKSON, TN

Last Updated on : Oct 07,2021

HANDICAP OF JACKSON LLC , NPI 1124025465

About HANDICAP OF JACKSON LLC (NPI 1124025465)


HANDICAP OF JACKSON LLC is a Durable Medical Equipment & Medical Supplies in JACKSON, United States .

1124025465 is NPI number of HANDICAP OF JACKSON LLC.

HANDICAP OF JACKSON LLC's primary taxonomy code based on NPI Lookup is 332B00000X with license number 748. This taxonomy code refers to Durable Medical Equipment & Medical Supplies.

HANDICAP OF JACKSON LLC current practice location address is 2088 HOLLYWOOD DR, JACKSON, TN. HANDICAP OF JACKSON LLC can be reached out via phone at 731-660-6116 and via fax at 731-660-6252 .

You can also correspond with HANDICAP OF JACKSON LLC through mail at mailing address 2088 HOLLYWOOD DR, JACKSON, TN, United States. Mailing address contact number is 731-660-6116.

The enumeration date of HANDICAP OF JACKSON LLC is 01-Jul-2005. The provider is registered as an Organization and the NPI record was last updated 1 years ago.

The authorized official of HANDICAP OF JACKSON LLC is Ty Jones (Manager). Ty Jones can be reached at 7316606116.

1124025465 NPI Information

Basic NPI information of HANDICAP OF JACKSON LLC (NPI 1124025465) is provided below.

Name HANDICAP OF JACKSON LLC
National Provider Id (NPI) 1124025465
Entity Type Organization
Practice Address 2088 HOLLYWOOD DR,
JACKSON, TN, United States
Practice Telephone 731-660-6116
Practice Fax Number 731-660-6252
Mailing Address 2088 HOLLYWOOD DR ,
JACKSON, TN, United States
Mailing Telephone 731-660-6116
Mailing Fax Number 731-660-6252
Enumeration Date 01-Jul-2005
Last Updated Date 07-Oct-2021

HANDICAP OF JACKSON LLC (NPI 1124025465) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 332B00000X Durable Medical Equipment & Medical Supplies 748 TN

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.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
1455080 MEDICAID (05) TN
4049264 Other (non-Medicare) (01) TN BCBS TN
5113960001 MEDICARE NSC (07) TN

HANDICAP OF JACKSON LLC (NPI 1124025465) Office Location

Office location of HANDICAP OF JACKSON LLC is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1023354511 RANDY FERRELL GUY Pharmacist PO BOX 426, 201 COMMERCE ST
JACKSON, AL, United States
02-Jan-2013
1508373226 NATHAN PIERCE Physical Therapist 1711 COLLEGE AVE,
JACKSON, AL, United States
03-Jan-2018
1215233564 CHRISTOPHER ALAN O'LAIRE Chiropractor 627 SARALAND BLVD S,
SARALAND, AL, United States
03-Feb-2011
1629374889 MARK REID WARREN Physical Therapist PO BOX 37,
JACKSON, AL, United States
07-Feb-2011
1992244206 JESSIE LOUISE CRISWELL Nurse Practitioner 227 HOSPITAL DR,
JACKSON, AL, United States
20-Feb-2017
1255671905 STEPHEN L GREER Physical Therapist 132 FOREST AVE, APPT 3C
JACKSON, AL, United States
18-Feb-2013
1215176912 TONYA BEECH Registered Nurse 1506 COLLEGE AVE,
JACKSON, AL, United States
19-Feb-2009
1790954733 GILLIARD HEALTH SERVICES Home Health 220 HOSPITAL DR,
JACKSON, AL, United States
25-Feb-2008
1871094300 KRISTIN FORD ANDERSON Physical Therapist 1711 COLLEGE AVE,
JACKSON, AL, United States
21-Feb-2018
1275703597 ROBIN LEE MYERS Physical Therapist, Orthopedic PO BOX 37,
JACKSON, AL, United States
03-Mar-2008
1992774392 PREMIER HEALTH MANAGEMENT, INC. Eyewear Supplier (Equipment, not the service) 1206 COLLEGE AVE,
JACKSON, AL, United States
16-Mar-2006
1538128095 JACKSON HEALTH CARE FACILITY, LLC Nursing Facility/Intermediate Care Facility 501 WHETSTONE ST,
MONROEVILLE, AL, United States
22-Mar-2006
1952427874 JACKSON MEDICAL CENTER, LLC General Acute Care Hospital, Rural 220 HOSPITAL DR,
JACKSON, AL, United States
22-Mar-2007
1558487397 JACKSON MEDICAL CENTER, LLC Medicare Defined Swing Bed Unit 220 HOSPITAL DR,
JACKSON, AL, United States
22-Mar-2007
1891180089 JACKSON MEDICAL CENTER, LLC Clinic/Center, Rural Health PO BOX 250,
GROVE HILL, AL, United States
03-Apr-2015
1457883399 JEROME HIGGS Physical Therapist 1711 COLLEGE AVE,
JACKSON, AL, United States
30-Mar-2017
1265674477 ALLISON GARRICK Speech-Language Pathologist, 245 CAHABA VALLEY PKWY, SUITE 200
PELHAM, AL, United States
02-Apr-2009
1922427822 STEPHANIE BROWN Counselor, Professional 251 FOREST AVE,
JACKSON, AL, United States
08-Apr-2014
1043430226 JACKSON MEDICAL CENTER, L.L.C. General Acute Care Hospital 220 HOSPITAL DR,
JACKSON, AL, United States
27-Apr-2007
1497972293 STANLEY RAY BEARD Dentist, General Practice 2620 COLLEGE AVE,
JACKSON, AL, United States
20-Apr-2007

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1124025465?

1124025465 is the NPI number of HANDICAP OF JACKSON LLC.

Where is HANDICAP OF JACKSON LLC located?

HANDICAP OF JACKSON LLC is located at 2088 HOLLYWOOD DR, JACKSON, TN.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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