Provider Demographics
NPI:1386823730
Name:CLEVELAND HOME RESPIRATORY CARE,INC
Entity Type:Organization
Organization Name:CLEVELAND HOME RESPIRATORY CARE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:F
Authorized Official - Last Name:HAMBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-336-1555
Mailing Address - Street 1:115 HIDDEN OAKS TRL NE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-7320
Mailing Address - Country:US
Mailing Address - Phone:423-336-1555
Mailing Address - Fax:423-336-6750
Practice Address - Street 1:115 HIDDEN OAKS TRL NE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-7320
Practice Address - Country:US
Practice Address - Phone:423-336-1555
Practice Address - Fax:423-336-6750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN628332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0349020001Medicare PIN
TN0349020001Medicare NSC