Provider Demographics
NPI:1013055268
Name:RESPIRATORY HOME CARE
Entity Type:Organization
Organization Name:RESPIRATORY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:PUGH
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:931-528-5894
Mailing Address - Street 1:1150 PERIMETER PARK DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-0927
Mailing Address - Country:US
Mailing Address - Phone:931-528-5894
Mailing Address - Fax:931-372-2118
Practice Address - Street 1:1150 PERIMETER PARK DR
Practice Address - Street 2:SUITE A
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-0927
Practice Address - Country:US
Practice Address - Phone:931-528-5894
Practice Address - Fax:931-372-2118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3547537Medicaid
TN0125260001Medicare ID - Type Unspecified