Provider Demographics
NPI:1447392576
Name:KRIECK ENTERPRISES LLC
Entity Type:Organization
Organization Name:KRIECK ENTERPRISES LLC
Other - Org Name:HOMECARE AMERICA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:KRIECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-789-8600
Mailing Address - Street 1:317 SOUTH AVE W
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-1464
Mailing Address - Country:US
Mailing Address - Phone:908-789-8600
Mailing Address - Fax:908-789-8609
Practice Address - Street 1:317 SOUTH AVE W
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-1464
Practice Address - Country:US
Practice Address - Phone:908-789-8600
Practice Address - Fax:908-789-8609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier