Provider Demographics
NPI:1477588325
Name:HOME CARE MEDICAL EQUIPMENT
Entity type:Organization
Organization Name:HOME CARE MEDICAL EQUIPMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:E
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-369-3333
Mailing Address - Street 1:36518 FRANCINE CIRCLE SOUTH
Mailing Address - Street 2:
Mailing Address - City:GEISMAR
Mailing Address - State:LA
Mailing Address - Zip Code:70734
Mailing Address - Country:US
Mailing Address - Phone:985-369-3333
Mailing Address - Fax:985-369-3334
Practice Address - Street 1:224 LA SPUR 70
Practice Address - Street 2:
Practice Address - City:PLATTENVILLE
Practice Address - State:LA
Practice Address - Zip Code:70393
Practice Address - Country:US
Practice Address - Phone:985-369-3333
Practice Address - Fax:985-369-3334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5605390001Medicare ID - Type Unspecified
LA3971940001Medicare ID - Type Unspecified