Provider Demographics
NPI:1558313924
Name:HOME OXYGEN & EQUIPMENT CO
Entity Type:Organization
Organization Name:HOME OXYGEN & EQUIPMENT CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SHURTLEFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-792-8727
Mailing Address - Street 1:8212 ITHACA AVE
Mailing Address - Street 2:STE E G
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423
Mailing Address - Country:US
Mailing Address - Phone:806-792-8727
Mailing Address - Fax:806-792-8786
Practice Address - Street 1:133 SOUTH 9TH
Practice Address - Street 2:
Practice Address - City:SLATON
Practice Address - State:TX
Practice Address - Zip Code:79364
Practice Address - Country:US
Practice Address - Phone:806-792-8727
Practice Address - Fax:806-792-8786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0085272332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
509361OtherBC BS
509361OtherBC BS