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NPI Code Detail

MEDICARE: NEW HOME RESPIRATORY CARE, INC

MEDICARE: NEW HOME RESPIRATORY CARE, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BX2000XOxygen Equipment & Supplies (DME)203-000640IL

General Provider Information

NPI Number : 1194720292
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW HOME RESPIRATORY CARE, INC
Provider Business Mailing Address
First Line : 5813 SAINT CHARLES RD
Second Line :
City : BERKELEY
State : IL
Zip : 60163-1031
Country : US
Telephone Number : 708-547-6020
Fax Number : 708-547-6025
Provider Business Practice Location Address
First Line : 5813 SAINT CHARLES RD
Second Line :
City : BERKELEY
State : IL
Zip : 60163-1031
Country : US
Telephone Number : 708-547-6020
Fax Number : 708-547-6025
Authorized Official
Title or Position : PRESIDENT
Name : MR. AUSTIN L MITCHELL
Credential : C.R.T.
Telephone Number : 708-547-6020
Provider Enumeration Date : 06/15/2005
Last Update Date : 10/10/2008

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Directions to “NEW HOME RESPIRATORY CARE, INC ” Practice Location

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