Provider Demographics
NPI:1710048640
Name:HOME OXYGEN INC
Entity Type:Organization
Organization Name:HOME OXYGEN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:H
Authorized Official - Last Name:CANADAY
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:205-601-5558
Mailing Address - Street 1:408 2ND AVENUE NW
Mailing Address - Street 2:SUITE B
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055
Mailing Address - Country:US
Mailing Address - Phone:256-734-2838
Mailing Address - Fax:256-734-4642
Practice Address - Street 1:408 2ND AVENUE NW
Practice Address - Street 2:SUITE B
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055
Practice Address - Country:US
Practice Address - Phone:256-734-2838
Practice Address - Fax:256-734-4642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL57744OtherBLUE CROSS BLUE SHIELD
AL0529750001Medicare ID - Type Unspecified