Provider Demographics
NPI:1245239300
Name:SPECIAL HOME CARE & EQUIPMENT INC
Entity Type:Organization
Organization Name:SPECIAL HOME CARE & EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-648-1416
Mailing Address - Street 1:113 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SHAMOKIN
Mailing Address - State:PA
Mailing Address - Zip Code:17872-6606
Mailing Address - Country:US
Mailing Address - Phone:570-648-1416
Mailing Address - Fax:570-648-7247
Practice Address - Street 1:113 S 2ND ST
Practice Address - Street 2:
Practice Address - City:SHAMOKIN
Practice Address - State:PA
Practice Address - Zip Code:17872-6606
Practice Address - Country:US
Practice Address - Phone:570-648-1416
Practice Address - Fax:570-648-7247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-20
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA29344332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0452300001Medicare NSC