Provider Demographics
NPI:1235162900
Name:UNITED HOME MEDICAL SERVICES
Entity Type:Organization
Organization Name:UNITED HOME MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:WHITMAN
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:276-676-3277
Mailing Address - Street 1:PO BOX 2364
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24212-2364
Mailing Address - Country:US
Mailing Address - Phone:276-676-3277
Mailing Address - Fax:276-676-3078
Practice Address - Street 1:301 WEST VALLEY STREET
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210
Practice Address - Country:US
Practice Address - Phone:276-676-3277
Practice Address - Fax:276-676-3078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0206008448332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA009135642Medicaid
TN4581446Medicaid
VA0226290002Medicare ID - Type Unspecified
TN0226290001Medicare ID - Type Unspecified