Provider Demographics
NPI:1275598807
Name:PROFESSIONAL RESPIRATORY HOME CARE, INC
Entity Type:Organization
Organization Name:PROFESSIONAL RESPIRATORY HOME CARE, INC
Other - Org Name:OXYGEN PLUS RESPIRATORY CARE AND HOME HEALTH EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:E
Authorized Official - Last Name:ROMPOT
Authorized Official - Suffix:
Authorized Official - Credentials:CRT, RPSGT
Authorized Official - Phone:772-569-0232
Mailing Address - Street 1:2436 US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-5024
Mailing Address - Country:US
Mailing Address - Phone:772-569-0232
Mailing Address - Fax:772-569-2652
Practice Address - Street 1:2436 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-5024
Practice Address - Country:US
Practice Address - Phone:772-569-0232
Practice Address - Fax:772-569-2652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL354332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0272440002Medicare NSC