Provider Demographics
NPI:1508055419
Name:HOME HEALTHCARE NETWORK
Entity Type:Organization
Organization Name:HOME HEALTHCARE NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:JEFFERY
Authorized Official - Last Name:VICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-814-7616
Mailing Address - Street 1:300 E LOMBARD ST
Mailing Address - Street 2:SUITE 840
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-3219
Mailing Address - Country:US
Mailing Address - Phone:410-814-7616
Mailing Address - Fax:410-814-7539
Practice Address - Street 1:300 E LOMBARD ST
Practice Address - Street 2:SUITE 840
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-3219
Practice Address - Country:US
Practice Address - Phone:410-814-7616
Practice Address - Fax:410-814-7539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13016551332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies