Provider Demographics
NPI:1164721940
Name:HOMEDUS INC
Entity Type:Organization
Organization Name:HOMEDUS INC
Other - Org Name:HOMEDUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:VIK
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPOOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-665-2055
Mailing Address - Street 1:1152 ROUTE 10
Mailing Address - Street 2:UNIT T
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-1823
Mailing Address - Country:US
Mailing Address - Phone:973-665-2055
Mailing Address - Fax:
Practice Address - Street 1:1152 ROUTE 10
Practice Address - Street 2:UNIT T
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-1823
Practice Address - Country:US
Practice Address - Phone:973-665-2055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-20
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6601330001Medicare NSC