Provider Demographics
NPI:1952688202
Name:MERITER HOME HEALTH DME LLC
Entity Type:Organization
Organization Name:MERITER HOME HEALTH DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF PROFESSIONAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:I
Authorized Official - Last Name:ERICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-417-6212
Mailing Address - Street 1:2180 W BELTLINE HWY
Mailing Address - Street 2:PO BOX 259993
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713-2340
Mailing Address - Country:US
Mailing Address - Phone:608-417-3700
Mailing Address - Fax:608-417-3747
Practice Address - Street 1:2180 W BELTLINE HWY
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-2340
Practice Address - Country:US
Practice Address - Phone:608-417-3700
Practice Address - Fax:608-417-3747
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERITER HEALTH ENTERPRISES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-11-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies