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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us