Provider Demographics
NPI:1154447720
Name:HOME PRODUCTS FOR SENIORS, INC.
Entity Type:Organization
Organization Name:HOME PRODUCTS FOR SENIORS, INC.
Other - Org Name:HOME PRODUCTS HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:DONAHUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-847-1700
Mailing Address - Street 1:1250 WEST DOROTHY LANE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45409-1317
Mailing Address - Country:US
Mailing Address - Phone:937-847-1700
Mailing Address - Fax:937-847-1866
Practice Address - Street 1:1250 WEST DOROTHY LANE
Practice Address - Street 2:SUITE 303
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409-1317
Practice Address - Country:US
Practice Address - Phone:937-847-1700
Practice Address - Fax:937-847-1866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD418110700Medicaid
IN200872920AMedicaid
OH2642000Medicaid
CO66454816Medicaid
WA9058264Medicaid
OH2642000Medicaid
IL=========001Medicaid