Provider Demographics
NPI:1437329752
Name:THE HOME DURABLE MEDICAL EQUIPMENT COMPANY INC
Entity Type:Organization
Organization Name:THE HOME DURABLE MEDICAL EQUIPMENT COMPANY INC
Other - Org Name:THE HOME DME COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-675-1767
Mailing Address - Street 1:1397 PIEDMONT DR
Mailing Address - Street 2:STE100
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1900
Mailing Address - Country:US
Mailing Address - Phone:231-675-1767
Mailing Address - Fax:
Practice Address - Street 1:1397 PIEDMONT DR
Practice Address - Street 2:STE100
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-1900
Practice Address - Country:US
Practice Address - Phone:231-675-1767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies