Provider Demographics
NPI:1760488324
Name:B & K HOME MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:B & K HOME MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-448-4040
Mailing Address - Street 1:11 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-2102
Mailing Address - Country:US
Mailing Address - Phone:419-448-4040
Mailing Address - Fax:419-448-5312
Practice Address - Street 1:11 JACKSON ST
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-2102
Practice Address - Country:US
Practice Address - Phone:419-448-4040
Practice Address - Fax:419-448-5312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-28
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0894064Medicaid
OH0894064Medicaid