Provider Demographics
NPI:1225210933
Name:HARMEL ENTERPRISES, INC.
Entity Type:Organization
Organization Name:HARMEL ENTERPRISES, INC.
Other - Org Name:ORTHOCARE ORTHOTICS AND FOOT CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAYLEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-484-6300
Mailing Address - Street 1:4500 S 70TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-4283
Mailing Address - Country:US
Mailing Address - Phone:402-484-6300
Mailing Address - Fax:402-484-6302
Practice Address - Street 1:4500 S 70TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4283
Practice Address - Country:US
Practice Address - Phone:402-484-6300
Practice Address - Fax:402-484-6302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE08986OtherBCBS
6049180001Medicare NSC