Provider Demographics
NPI:1174846331
Name:HOMETOWN OXYGEN WINSTON SALEM LLC
Entity Type:Organization
Organization Name:HOMETOWN OXYGEN WINSTON SALEM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:VOORHEES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-692-2747
Mailing Address - Street 1:41 SPRING ST.
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NEW PROVIDENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:07974
Mailing Address - Country:US
Mailing Address - Phone:336-723-1027
Mailing Address - Fax:336-723-1607
Practice Address - Street 1:952 PETERS CREEK PKWY
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-4552
Practice Address - Country:US
Practice Address - Phone:336-723-1027
Practice Address - Fax:704-347-4978
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOMETOWN OXYGEN CHARLOTTE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-02
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies