1750690442 NPI number — HOME CARE EQUIPMENT, INC.

Table of content: (NPI 1750690442)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750690442 NPI number — HOME CARE EQUIPMENT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOME CARE EQUIPMENT, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750690442
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/29/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1700 W HARPER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
POPLAR BLUFF
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63901-4121
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
573-686-3720
Provider Business Mailing Address Fax Number:
573-686-2929

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14400 ROUTE 37
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JOHNSTON CITY
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62951-3166
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
618-983-3100
Provider Business Practice Location Address Fax Number:
618-983-3106
Provider Enumeration Date:
09/29/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BRUMITT
Authorized Official First Name:
SARA
Authorized Official Middle Name:
N
Authorized Official Title or Position:
VICE-PRESIDENT
Authorized Official Telephone Number:
573-686-3720

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , with the licence number:  203001178 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)