Provider Demographics
NPI:1689115396
Name:HOME PLUS MEDICAL
Entity Type:Organization
Organization Name:HOME PLUS MEDICAL
Other - Org Name:HOME PLUS MEDICAL O AND P
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:267-290-2950
Mailing Address - Street 1:2815B RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-2325
Mailing Address - Country:US
Mailing Address - Phone:267-270-2950
Mailing Address - Fax:
Practice Address - Street 1:2815 RIDGE AVE STE B
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19121-5259
Practice Address - Country:US
Practice Address - Phone:610-724-3561
Practice Address - Fax:610-724-3561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOR0000690332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment