Organization
HOME THERAPY INC.
Active
Other names
Active Medical & Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE BUCKNER (PRESIDENT)
(731) 632-9820
Entity
Organization
Contact information
Practice address
135 E MAIN ST, ADAMSVILLE, TN 38310-2315
(731) 632-9820
(866) 430-7946
Mailing address
119 W MAIN ST, ADAMSVILLE, TN 38310-4961
(731) 632-9820
(866) 430-7946
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000939
TN
332BC3200X
Customized Equipment (DME)
0000000939
TN
332BX2000X
Oxygen Equipment & Supplies (DME)
0000000939
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000011210
BCBS
MS
01
—
000011213
BCBS, PPO
MS
05
—
00040342
—
MS
05
—
00330076
—
MS
01
—
0132771
BCBS, HIT
TN
05
—
100230069
—
AL
05
—
172669
—
TN
01
—
310-5120
BCBS
TN
05
—
4581588
—
TN
05
—
9250047
—
TN
Enumeration date
08/10/2006
Last updated
02/17/2021
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