Provider Demographics
NPI:1093711350
Name:HOMECARE MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:HOMECARE MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-691-4347
Mailing Address - Street 1:PO BOX 9058
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-9058
Mailing Address - Country:US
Mailing Address - Phone:940-691-4347
Mailing Address - Fax:940-691-4654
Practice Address - Street 1:3411 MCNIEL AVE
Practice Address - Street 2:STE 101
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-1512
Practice Address - Country:US
Practice Address - Phone:940-691-4347
Practice Address - Fax:940-691-4654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0037365332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTX 0008901OtherBEDDING LICENSE
TX0037368OtherMED. DEVICE & FDA LICENSE
TXTX 0008901OtherBEDDING LICENSE