Provider Demographics
NPI:1689728644
Name:HOME MEDICAL PROFESSIONALS
Entity Type:Organization
Organization Name:HOME MEDICAL PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKHILL
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:770-533-9404
Mailing Address - Street 1:1655 OAKBROOK DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30507-8492
Mailing Address - Country:US
Mailing Address - Phone:770-533-9404
Mailing Address - Fax:
Practice Address - Street 1:205 CLEVELAND RD
Practice Address - Street 2:SUITE D
Practice Address - City:BOGART
Practice Address - State:GA
Practice Address - Zip Code:30622-6821
Practice Address - Country:US
Practice Address - Phone:706-433-0715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00738174CMedicaid
GA00738174CMedicaid