Provider Demographics
NPI:1417992025
Name:HOME MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:HOME MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:ROYAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-398-2488
Mailing Address - Street 1:3842 INDUSTRIAL AVE
Mailing Address - Street 2:
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-1022
Mailing Address - Country:US
Mailing Address - Phone:847-398-2488
Mailing Address - Fax:847-398-2444
Practice Address - Street 1:3842 INDUSTRIAL AVE
Practice Address - Street 2:
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-1022
Practice Address - Country:US
Practice Address - Phone:847-398-2488
Practice Address - Fax:847-398-2444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid
4910140001Medicare ID - Type Unspecified