Provider Demographics
NPI:1538292396
Name:DEEKUN ENTERPRISE,INC
Entity Type:Organization
Organization Name:DEEKUN ENTERPRISE,INC
Other - Org Name:HOME HEALTH EQUIPMENT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LECHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-463-5944
Mailing Address - Street 1:1113 NE JENSEN BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-4707
Mailing Address - Country:US
Mailing Address - Phone:772-334-4200
Mailing Address - Fax:772-463-5981
Practice Address - Street 1:1113 NE JENSEN BEACH BLVD
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-4707
Practice Address - Country:US
Practice Address - Phone:772-334-4200
Practice Address - Fax:772-463-5981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL204332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL031175800Medicaid
FL5483330002Medicare NSC