Provider Demographics
NPI:1013922822
Name:C M HOME MEDICAL EQUIPMENT, INC
Entity Type:Organization
Organization Name:C M HOME MEDICAL EQUIPMENT, INC
Other - Org Name:CONVALESCENT CARE OF EUFAULA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MEADOWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-687-8212
Mailing Address - Street 1:1236 S EUFAULA AVE
Mailing Address - Street 2:
Mailing Address - City:EUFAULA
Mailing Address - State:AL
Mailing Address - Zip Code:36027-2718
Mailing Address - Country:US
Mailing Address - Phone:334-687-8212
Mailing Address - Fax:334-687-8282
Practice Address - Street 1:118 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:AL
Practice Address - Zip Code:36027-2328
Practice Address - Country:US
Practice Address - Phone:334-687-8212
Practice Address - Fax:334-687-8282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009938032Medicaid
AL009938032Medicaid