Provider Demographics
NPI:1447556675
Name:FAMILY CARE HOME MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:FAMILY CARE HOME MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEGNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-850-4775
Mailing Address - Street 1:118 E OAK RIDGE DRIVE
Mailing Address - Street 2:SUITE 1500
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-7764
Mailing Address - Country:US
Mailing Address - Phone:301-850-4775
Mailing Address - Fax:301-850-0130
Practice Address - Street 1:118 E OAK RIDGE DR STE 1500
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-7814
Practice Address - Country:US
Practice Address - Phone:301-850-4775
Practice Address - Fax:301-850-0130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-05
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR3031OtherRSA
MDR3031OtherRSA