Provider Demographics
NPI:1831208578
Name:HOME MEDICAL EQPT. SERVICES, INC.
Entity type:Organization
Organization Name:HOME MEDICAL EQPT. SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:DUSA
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:508-693-0601
Mailing Address - Street 1:PO BOX 570
Mailing Address - Street 2:
Mailing Address - City:VINEYARD HAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02568-0570
Mailing Address - Country:US
Mailing Address - Phone:508-693-0601
Mailing Address - Fax:508-696-0217
Practice Address - Street 1:34 SEA GLEN RD.
Practice Address - Street 2:
Practice Address - City:OAK BLUFFS
Practice Address - State:MA
Practice Address - Zip Code:02557
Practice Address - Country:US
Practice Address - Phone:508-693-0601
Practice Address - Fax:508-696-0217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA27332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0249550001Medicare ID - Type Unspecified