Handicap Of Jackson Llc

LBN: Handicap Of Jackson Llc
Handicap Of Jackson Llc is an health care organization with primary practice located at 2088 Hollywood Dr , Jackson TN 38305-4380. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Handicap Of Jackson Llc can be contacted via phone (731) 660-6116, or through Jones, Ty via phone (731) 660-6116.

Contact Information

Primary practice address
2088 Hollywood Dr Jackson TN 38305-4380
Phone: (731) 660-6116
Fax: (731) 660-6252
Website:
Map and Directions
Authorized official contact:
Name: Jones, Ty ATP
Phone: (731) 660-6116

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 748 Tennessee

Profile Details

NPI number 1124025465
LBN Legal business name Handicap Of Jackson Llc
DBA Doing business as
Authorized official Jones, Ty ATP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2005
Last updated Jan 25th, 2023 - about 3 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 1124025465 NPPES
Tennessee MEDICAID 1455080
Tennessee Other 4049264

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