Provider Demographics
NPI:1508350810
Name:HOMELINK SPECIALTY PRODUCTS
Entity Type:Organization
Organization Name:HOMELINK SPECIALTY PRODUCTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, REGULATORY COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:HIBBEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-546-6893
Mailing Address - Street 1:1111 W SAN MARNAN DR
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-8927
Mailing Address - Country:US
Mailing Address - Phone:800-482-1993
Mailing Address - Fax:
Practice Address - Street 1:1111 W SAN MARNAN DR
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-8927
Practice Address - Country:US
Practice Address - Phone:800-482-1993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VGM GROUP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-20
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment