Provider Demographics
NPI:1972789428
Name:HOME MED PLUS L.L.C.
Entity Type:Organization
Organization Name:HOME MED PLUS L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:LOUMEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-307-0050
Mailing Address - Street 1:5013 PACIFIC HWY E
Mailing Address - Street 2:STE. 15
Mailing Address - City:FIFE
Mailing Address - State:WA
Mailing Address - Zip Code:98424-2658
Mailing Address - Country:US
Mailing Address - Phone:253-926-0198
Mailing Address - Fax:253-926-0220
Practice Address - Street 1:5013 PACIFIC HWY E
Practice Address - Street 2:STE. 15
Practice Address - City:FIFE
Practice Address - State:WA
Practice Address - Zip Code:98424-2658
Practice Address - Country:US
Practice Address - Phone:253-926-0198
Practice Address - Fax:253-926-0220
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOME MED PLUS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies