Provider Demographics
NPI:1962493783
Name:LOBO HOME HEALTH INC.
Entity Type:Organization
Organization Name:LOBO HOME HEALTH INC.
Other - Org Name:PORCH HOME MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:J
Authorized Official - Last Name:PORCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-259-3123
Mailing Address - Street 1:37 GOLFVIEW DR NE
Mailing Address - Street 2:
Mailing Address - City:ARAB
Mailing Address - State:AL
Mailing Address - Zip Code:35016-5467
Mailing Address - Country:US
Mailing Address - Phone:256-586-4604
Mailing Address - Fax:256-586-3824
Practice Address - Street 1:37 GOLFVIEW DR NE
Practice Address - Street 2:
Practice Address - City:ARAB
Practice Address - State:AL
Practice Address - Zip Code:35016-5467
Practice Address - Country:US
Practice Address - Phone:256-586-4604
Practice Address - Fax:256-586-3824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL121332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0147190002Medicare ID - Type UnspecifiedMEDICAL EQUIPMENT CO