Provider Demographics
NPI:1063646966
Name:HOME MEDICAL PRODUCTS, INC.
Entity Type:Organization
Organization Name:HOME MEDICAL PRODUCTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF COMPLIANCE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:BRETT
Authorized Official - Last Name:STOUTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-500-1977
Mailing Address - Street 1:PO BOX 878
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38302-0878
Mailing Address - Country:US
Mailing Address - Phone:731-660-0084
Mailing Address - Fax:731-660-0083
Practice Address - Street 1:234 TYSON AVE STE C
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-5854
Practice Address - Country:US
Practice Address - Phone:877-660-0084
Practice Address - Fax:731-660-6215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-06
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000828332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies