Provider Demographics
NPI:1073610358
Name:HOME PARENTERAL CARE, INC
Entity Type:Organization
Organization Name:HOME PARENTERAL CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:REEDAL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:541-683-3700
Mailing Address - Street 1:1000 S BERTELSEN RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-5434
Mailing Address - Country:US
Mailing Address - Phone:541-683-3700
Mailing Address - Fax:541-683-3415
Practice Address - Street 1:1000 S BERTELSEN RD
Practice Address - Street 2:SUITE 4
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-5434
Practice Address - Country:US
Practice Address - Phone:541-683-3700
Practice Address - Fax:541-683-3415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRP0000862CS332BP3500X, 3336H0001X
OR332BP3500X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR243170Medicaid
OR269104Medicaid
OR0276700001Medicare NSC