Provider Demographics
NPI:1881124154
Name:HOME THERAPY INC.
Entity type:Organization
Organization Name:HOME THERAPY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCKNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-225-8960
Mailing Address - Street 1:135 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ADAMSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38310-2315
Mailing Address - Country:US
Mailing Address - Phone:731-632-9820
Mailing Address - Fax:866-430-7946
Practice Address - Street 1:3554 S HOPKINS AVE STE B
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32780-5720
Practice Address - Country:US
Practice Address - Phone:321-225-8960
Practice Address - Fax:866-430-7946
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOME THERAPY INC. DBA ACTIVE MEDICAL & MOBILITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-19
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies