Provider Demographics
NPI:1386627123
Name:WALKER HOMECARE, INC
Entity Type:Organization
Organization Name:WALKER HOMECARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:660-259-6222
Mailing Address - Street 1:1120 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:64067-1336
Mailing Address - Country:US
Mailing Address - Phone:669-259-6222
Mailing Address - Fax:660-259-3774
Practice Address - Street 1:1120 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MO
Practice Address - Zip Code:64067-1336
Practice Address - Country:US
Practice Address - Phone:669-259-6222
Practice Address - Fax:660-259-3774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0227230001Medicare ID - Type UnspecifiedMEDICARE EQUIPMENT