Provider Demographics
NPI:1902862816
Name:HOME CARE EQUIPMENT, INC.
Entity Type:Organization
Organization Name:HOME CARE EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:N
Authorized Official - Last Name:BRUMITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-686-3720
Mailing Address - Street 1:1700 W HARPER ST
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901-4121
Mailing Address - Country:US
Mailing Address - Phone:573-686-3720
Mailing Address - Fax:573-686-2929
Practice Address - Street 1:1700 W HARPER ST
Practice Address - Street 2:
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-4121
Practice Address - Country:US
Practice Address - Phone:573-686-3720
Practice Address - Fax:573-686-2929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-21
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARMG00350332BX2000X
IL203000102332BX2000X
KYMG0720332BX2000X
MO2009033278332BX2000X
TN7147366332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO105347OtherBCBS OF MO PROVIDER NUMBE
MO621336502Medicaid
IL=========001Medicaid
KS0328880004Medicare NSC
IL=========001Medicaid
MO621336502Medicaid
KS0328880005Medicare NSC
MO0328880006Medicare NSC