Provider Demographics
NPI:1538112297
Name:THOMAS INTERNATIONAL, INC.
Entity Type:Organization
Organization Name:THOMAS INTERNATIONAL, INC.
Other - Org Name:CONVALESCENT SHOP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:HANCHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-436-8881
Mailing Address - Street 1:PO BOX 9332
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46899-9332
Mailing Address - Country:US
Mailing Address - Phone:260-436-8881
Mailing Address - Fax:260-436-8448
Practice Address - Street 1:7501 W JEFFERSON BLVD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-4131
Practice Address - Country:US
Practice Address - Phone:260-436-8881
Practice Address - Fax:260-436-8448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN5098980002Medicare ID - Type Unspecified