Provider Demographics
NPI:1407989957
Name:HOME MEDICAL INC.
Entity Type:Organization
Organization Name:HOME MEDICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MERMELSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-617-4191
Mailing Address - Street 1:6550 N HAMLIN AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-3924
Mailing Address - Country:US
Mailing Address - Phone:773-617-4191
Mailing Address - Fax:847-480-9394
Practice Address - Street 1:6550 N HAMLIN AVE
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-3924
Practice Address - Country:US
Practice Address - Phone:847-480-9390
Practice Address - Fax:847-480-9394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5912200001OtherMEDICARE PROVIDER NUMBER
IL5912200001OtherMEDICARE PROVIDER NUMBER
IL=========Medicaid
IL5912200001Medicare PIN