Organization
HOMECARE MEDICAL GROUPS LLC
Active
Other names
Homecare Medical Groups LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN TYSON (REGISTERED AGENT)
(919) 494-2207
Entity
Organization
Contact information
Practice address
10429 LIGON MILL RD, WAKE FOREST, NC 27587-4987
(919) 556-7500
(888) 891-4170
Mailing address
10429 LIGON MILL RD, WAKE FOREST, NC 27587-4987
(919) 556-7500
(888) 891-4170
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
NC
251B00000X
Case Management Agency
—
NC
251C00000X
Developmentally Disabled Services Day Training Agency
—
NC
251G00000X
Community Based Hospice Care Agency
—
NC
251S00000X
Community/Behavioral Health Agency
—
NC
252Y00000X
Early Intervention Provider Agency
—
NC
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
000000
NC
332BN1400X
Nursing Facility Supplies (DME)
000000
NC
332BX2000X
Oxygen Equipment & Supplies (DME)
000000
NC
332U00000X
Home Delivered Meals
000000
NC
335E00000X
Prosthetic/Orthotic Supplier
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7790000
—
NC
01
—
BREAST PROSTHETICS
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS & PEDORTHICS
NC
01
—
CERTIFIED PEDORTHIST
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS & PEDORTHICS
NC
01
—
FEDERALLY ACCREDITED
HEALTHCARE QUALITY ASSOCIATION ON ACCREDITATION
NC
Enumeration date
09/10/2007
Last updated
07/21/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up