Provider Demographics
NPI:1568549236
Name:HOME MEDICAL EQUIPMENT CO.
Entity Type:Organization
Organization Name:HOME MEDICAL EQUIPMENT CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-424-7100
Mailing Address - Street 1:414 7TH ST
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-4602
Mailing Address - Country:US
Mailing Address - Phone:304-424-7100
Mailing Address - Fax:304-428-8825
Practice Address - Street 1:414 7TH ST
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-4602
Practice Address - Country:US
Practice Address - Phone:304-424-7100
Practice Address - Fax:304-428-8825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV801553332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0148126000Medicaid
OH0396085Medicaid
OH0396085Medicaid