1942298633 NPI number — HOME MEDICAL EQUIPMENT, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942298633 NPI number — HOME MEDICAL EQUIPMENT, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOME MEDICAL EQUIPMENT, LLC
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:
6
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:
1942298633
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2025 REGENCY RD
Provider Second Line Business Mailing Address:
STE 100
Provider Business Mailing Address City Name:
LEXINGTON
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40503
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
859-277-4663
Provider Business Mailing Address Fax Number:
859-277-1107

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
286 BOGLE ST
Provider Second Line Business Practice Location Address:
SUITE 4
Provider Business Practice Location Address City Name:
SOMERSET
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42503-2898
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-679-4141
Provider Business Practice Location Address Fax Number:
606-679-4173
Provider Enumeration Date:
10/07/2005

Additional Information

Authorized Official

Authorized Official Last Name:
JONES
Authorized Official First Name:
CONNIE
Authorized Official Middle Name:
K.
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
859-277-4663

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  014829 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X , with the licence number: 014829 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 90012709 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 45003720 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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