Provider Demographics
NPI:1851389647
Name:HOME MEDICAL EQUIPMENT, LLC
Entity Type:Organization
Organization Name:HOME MEDICAL EQUIPMENT, LLC
Other - Org Name:HOMECARE MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:859-277-4663
Mailing Address - Street 1:2025 REGENCY RD
Mailing Address - Street 2:STE 100
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503
Mailing Address - Country:US
Mailing Address - Phone:859-277-4663
Mailing Address - Fax:859-277-1107
Practice Address - Street 1:2025 REGENCY RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2354
Practice Address - Country:US
Practice Address - Phone:859-277-4663
Practice Address - Fax:859-277-1107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY014829332BX2000X
KY332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100168640Medicaid
KY7100168660Medicaid
KY7100168640Medicaid