Provider Demographics
NPI:1225183403
Name:SORRELL HOME MEDICAL EQUIPMENT, LLC
Entity Type:Organization
Organization Name:SORRELL HOME MEDICAL EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:SORRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-234-4441
Mailing Address - Street 1:208 W PLEASANT ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CYNTHIANA
Mailing Address - State:KY
Mailing Address - Zip Code:41031-2421
Mailing Address - Country:US
Mailing Address - Phone:859-234-4441
Mailing Address - Fax:
Practice Address - Street 1:208 W PLEASANT ST
Practice Address - Street 2:SUITE 3
Practice Address - City:CYNTHIANA
Practice Address - State:KY
Practice Address - Zip Code:41031-2421
Practice Address - Country:US
Practice Address - Phone:859-234-4441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY4500350600Medicaid