MEDICARE: ABC HOME MEDICAL SUPPLY, 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
1	332B00000X	Durable Medical Equipment & Medical Supplies		PA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760757934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABC HOME MEDICAL SUPPLY, INC.

Provider Business Mailing Address
First Line	:	PO BOX 674553
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48267-4553
Country	:	US
Telephone Number	:	866-879-8588
Fax Number	:	877-785-7396

Provider Business Practice Location Address
First Line	:	5 INTERPLEX DR STE 201
Second Line	:
City	:	FEASTERVILLE TREVOSE
State	:	PA
Zip	:	19053-6968
Country	:	US
Telephone Number	:	267-982-4489
Fax Number	:	610-363-1009

Authorized Official
Title or Position	:	PRESIDENT AND DIRECTOR
Name	:	EMILY M VESTAL
Credential	:
Telephone Number	:	866-897-8588

Provider Enumeration Date	:	03/20/2012
Last Update Date	:	02/17/2026

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