Provider Demographics
NPI:1437158367
Name:DRAINVILLE ENTERPRISES
Entity Type:Organization
Organization Name:DRAINVILLE ENTERPRISES
Other - Org Name:HOME MEDICAL EQUIPMENT OF CHATHAM COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:KENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-307-3017
Mailing Address - Street 1:128 VILLAGE LAKE RD
Mailing Address - Street 2:
Mailing Address - City:SILER CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27344-1821
Mailing Address - Country:US
Mailing Address - Phone:919-663-3554
Mailing Address - Fax:919-663-1866
Practice Address - Street 1:128 VILLAGE LAKE RD
Practice Address - Street 2:
Practice Address - City:SILER CITY
Practice Address - State:NC
Practice Address - Zip Code:27344-1821
Practice Address - Country:US
Practice Address - Phone:919-663-3554
Practice Address - Fax:919-663-1866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-21
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPHARMACE PERMIT 0073332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7703791Medicaid
NC7703791Medicaid