Provider Demographics
NPI:1639126352
Name:NATIONAL HOME RESPIRATORY SERVICE, INC.
Entity type:Organization
Organization Name:NATIONAL HOME RESPIRATORY SERVICE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:THUSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-795-9806
Mailing Address - Street 1:3381 FAIRLANE FARMS RD
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-8711
Mailing Address - Country:US
Mailing Address - Phone:561-795-9806
Mailing Address - Fax:561-791-7672
Practice Address - Street 1:3381 FAIRLANE FARMS RD
Practice Address - Street 2:SUITE 1A
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-8711
Practice Address - Country:US
Practice Address - Phone:561-795-9806
Practice Address - Fax:561-791-7672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0201910001Medicare NSC