Provider Demographics
NPI:1710156633
Name:ESSENTIAL HOME MEDICAL PRODUCTS, INC.
Entity Type:Organization
Organization Name:ESSENTIAL HOME MEDICAL PRODUCTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:CHAHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-600-1641
Mailing Address - Street 1:4019 W KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-2723
Mailing Address - Country:US
Mailing Address - Phone:813-600-1641
Mailing Address - Fax:813-944-2276
Practice Address - Street 1:4019 W KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-2723
Practice Address - Country:US
Practice Address - Phone:813-600-1641
Practice Address - Fax:813-944-2276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherTAX
FL6137780001Medicare NSC