Provider Demographics
NPI:1497791362
Name:COMMUNITY RESPIRATORY HOME CARE INC
Entity Type:Organization
Organization Name:COMMUNITY RESPIRATORY HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:EBERLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-807-6979
Mailing Address - Street 1:7105 US HIGHWAY 19
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-1638
Mailing Address - Country:US
Mailing Address - Phone:727-807-6979
Mailing Address - Fax:727-807-7888
Practice Address - Street 1:2999 COMMERCIAL WAY
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-3319
Practice Address - Country:US
Practice Address - Phone:352-684-6062
Practice Address - Fax:352-684-6047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1178332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3988130001Medicare NSC