Provider Demographics
NPI:1659681732
Name:HOMETOWN OXYGEN PITTSBURGH LLC
Entity Type:Organization
Organization Name:HOMETOWN OXYGEN PITTSBURGH LLC
Other - Org Name:HOMETOWN OXYGEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:OTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-539-2202
Mailing Address - Street 1:5095 CENTER DR.
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650
Mailing Address - Country:US
Mailing Address - Phone:724-539-2202
Mailing Address - Fax:724-529-2207
Practice Address - Street 1:5095 CENTER DR
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-5202
Practice Address - Country:US
Practice Address - Phone:724-539-2202
Practice Address - Fax:724-539-2207
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOMETOWN OXYGEN PITTSBURGH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-07
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies