Provider Demographics
NPI:1699843375
Name:HOME CARE MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:HOME CARE MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:D
Authorized Official - Last Name:KRIMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-675-4888
Mailing Address - Street 1:THIRD AND VIAND STREET
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT
Mailing Address - State:WV
Mailing Address - Zip Code:25550
Mailing Address - Country:US
Mailing Address - Phone:304-675-4888
Mailing Address - Fax:304-675-1318
Practice Address - Street 1:THIRD AND VIAND STREET
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT
Practice Address - State:WV
Practice Address - Zip Code:25550
Practice Address - Country:US
Practice Address - Phone:304-675-4888
Practice Address - Fax:304-675-1318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0804188Medicaid
WV0147059000Medicaid
OH0804188Medicaid