Provider Demographics
NPI:1225179914
Name:HOME AGAIN MEDICAL, LLC
Entity Type:Organization
Organization Name:HOME AGAIN MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:L
Authorized Official - Last Name:CROWL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-228-3023
Mailing Address - Street 1:5016 W CACTUS RD
Mailing Address - Street 2:STE 3
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85304-2245
Mailing Address - Country:US
Mailing Address - Phone:602-272-0707
Mailing Address - Fax:602-424-0201
Practice Address - Street 1:5016 W CACTUS RD SUITE 3
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85304-2245
Practice Address - Country:US
Practice Address - Phone:602-272-0707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20-162328332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ5884740001Medicare NSC