Provider Demographics
NPI:1235160664
Name:QUALITY HOME MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:QUALITY HOME MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:PANKOW
Authorized Official - Suffix:
Authorized Official - Credentials:ATS
Authorized Official - Phone:734-721-4821
Mailing Address - Street 1:273 MANUFACTURERS DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-4038
Mailing Address - Country:US
Mailing Address - Phone:734-721-4821
Mailing Address - Fax:734-721-9866
Practice Address - Street 1:273 MANUFACTURERS DR
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-4038
Practice Address - Country:US
Practice Address - Phone:734-721-4821
Practice Address - Fax:734-721-9866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIA ME-0152033332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4526227Medicaid
MI4840840001Medicare NSC