MEDICARE: HOME MEDICAL PROFESSIONALS

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
1	332BX2000X	Oxygen Equipment & Supplies (DME)		GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538168414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME MEDICAL PROFESSIONALS

Provider Business Mailing Address
First Line	:	1655 OAKBROOK DR
Second Line	:	SUITE B
City	:	GAINESVILLE
State	:	GA
Zip	:	30507-8492
Country	:	US
Telephone Number	:	770-533-9404
Fax Number	:

Provider Business Practice Location Address
First Line	:	2344 CHAMBLEE TUCKER RD
Second Line	:
City	:	CHAMBLEE
State	:	GA
Zip	:	30341-3447
Country	:	US
Telephone Number	:	678-547-0619
Fax Number	:

Authorized Official
Title or Position	:	VICE-PRESIDENT
Name	:	MR. ERIC PARKHILL
Credential	:
Telephone Number	:	770-533-9404

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	01/08/2015

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