Provider Demographics
NPI:1831195494
Name:B&K HOME MEDICAL SERVICES, INC.
Entity type:Organization
Organization Name:B&K HOME MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:HANNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-448-4040
Mailing Address - Street 1:11 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-2102
Mailing Address - Country:US
Mailing Address - Phone:419-448-4040
Mailing Address - Fax:419-448-5312
Practice Address - Street 1:123 N SANDUSKY AVE
Practice Address - Street 2:
Practice Address - City:BUCYRUS
Practice Address - State:OH
Practice Address - Zip Code:44820-2218
Practice Address - Country:US
Practice Address - Phone:419-563-0101
Practice Address - Fax:419-563-1022
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:B & K HOME MEDICAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-28
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2078040Medicaid
OH0201930002Medicare ID - Type Unspecified