Provider Demographics
NPI:1568568020
Name:OCEAN HOME HEALTH SUPPLY LLC
Entity Type:Organization
Organization Name:OCEAN HOME HEALTH SUPPLY LLC
Other - Org Name:COPD SERVICES BY OCEAN LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:YEHOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-437-7264
Mailing Address - Street 1:1000 AIRPORT RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5960
Mailing Address - Country:US
Mailing Address - Phone:732-961-1300
Mailing Address - Fax:732-961-9897
Practice Address - Street 1:1951 OLD CUTHBERT RD
Practice Address - Street 2:SUITE 412
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-1411
Practice Address - Country:US
Practice Address - Phone:856-939-2970
Practice Address - Fax:856-939-0540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ9122605Medicaid
NJ0347520001Medicare NSC
NJ9122605Medicaid