Provider Demographics
NPI:1114810462
Name:MRS HOMECARE, INC.
Entity type:Organization
Organization Name:MRS HOMECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:WALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:295-205-7092
Mailing Address - Street 1:PO BOX 568
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31702-0568
Mailing Address - Country:US
Mailing Address - Phone:229-520-5709
Mailing Address - Fax:229-520-5002
Practice Address - Street 1:2310 CRAWFORD RD STE 106
Practice Address - Street 2:
Practice Address - City:PHENIX CITY
Practice Address - State:AL
Practice Address - Zip Code:36867-3612
Practice Address - Country:US
Practice Address - Phone:706-596-8855
Practice Address - Fax:706-596-0404
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MRS HOMECARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies