Provider Demographics
NPI:1942298633
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 1:286 BOGLE ST
Practice Address - Street 2:SUITE 4
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-2898
Practice Address - Country:US
Practice Address - Phone:606-679-4141
Practice Address - Fax:606-679-4173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY014829332B00000X, 332BX2000X
KY332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90012709Medicaid
KY45003720Medicaid
KY5110340002Medicare NSC