Provider Demographics
NPI:1578207593
Name:ONE HOME MEDICAL EQUIPMENT VA, LLC
Entity Type:Organization
Organization Name:ONE HOME MEDICAL EQUIPMENT VA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COCHRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-234-9095
Mailing Address - Street 1:3351 EXECUTIVE WAY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3935
Mailing Address - Country:US
Mailing Address - Phone:786-234-9095
Mailing Address - Fax:
Practice Address - Street 1:4905 CROWE DRIVE
Practice Address - Street 2:
Practice Address - City:MOUNT CRAWFORD
Practice Address - State:VA
Practice Address - Zip Code:22841
Practice Address - Country:US
Practice Address - Phone:855-441-6900
Practice Address - Fax:855-441-6941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies