Provider Demographics
NPI:1952589699
Name:HOMELINE INC
Entity Type:Organization
Organization Name:HOMELINE INC
Other - Org Name:LIFE CARE DELIVERED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:POSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-644-2558
Mailing Address - Street 1:8300 HIGHWAY 380
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CROSSROADS
Mailing Address - State:TX
Mailing Address - Zip Code:76227-2530
Mailing Address - Country:US
Mailing Address - Phone:800-644-2558
Mailing Address - Fax:877-365-1937
Practice Address - Street 1:8300 HIGHWAY 380
Practice Address - Street 2:SUITE 2
Practice Address - City:CROSSROADS
Practice Address - State:TX
Practice Address - Zip Code:76227-2530
Practice Address - Country:US
Practice Address - Phone:800-644-2558
Practice Address - Fax:877-365-1937
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOMELINE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-05
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1267670001Medicare PIN