Provider Demographics
NPI:1700299146
Name:HOMELINK CIGNA
Entity Type:Organization
Organization Name:HOMELINK CIGNA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZYNSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-482-1993
Mailing Address - Street 1:1111 W SAN MARNAN DR
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-9007
Mailing Address - Country:US
Mailing Address - Phone:800-482-1993
Mailing Address - Fax:
Practice Address - Street 1:1111 W SAN MARNAN DR
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-9007
Practice Address - Country:US
Practice Address - Phone:800-482-1993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VGM GROUP INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-03
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies