Provider Demographics
NPI:1437101847
Name:PULMONARY HOME HEALTHCARE INC
Entity Type:Organization
Organization Name:PULMONARY HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:ABDUL
Authorized Official - Last Name:QADEER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-978-0046
Mailing Address - Street 1:2608 ROYAL COURT
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124
Mailing Address - Country:US
Mailing Address - Phone:205-978-0046
Mailing Address - Fax:205-988-0034
Practice Address - Street 1:1945 HOOVER COURT
Practice Address - Street 2:SUITE 103
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35226
Practice Address - Country:US
Practice Address - Phone:205-978-0046
Practice Address - Fax:205-988-0034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51512805OtherBCBS
AL009978260Medicaid
AL51512805OtherBCBS